Evidence map›Paper›PMID 31818049›Full record

ArticleGut and liver2020

Efficacy of Novel Ultrathin Single-Balloon Enteroscopy for Crohn's Disease: A Propensity Score-Matched Study.

Kaoru Takabayashi, Naoki Hosoe, Motohiko Kato, Yukie Hayashi, Ryoichi Miyanaga, Kosaku Nanki, Kayoko Fukuhara, Yohei Mikami, Shinta Mizuno, Tomohisa Sujino and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Gut and liver, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Kaoru TakabayashiCenter for Diagnostic and Therapeutic Endoscopy, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-4891-8246
Naoki HosoeCenter for Diagnostic and Therapeutic Endoscopy, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-4516-5648
Motohiko KatoDivision of Gastroenterology and Hepatology, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-7579-1316
Yukie HayashiCenter for Diagnostic and Therapeutic Endoscopy, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-3777-2261
Ryoichi MiyanagaCenter for Diagnostic and Therapeutic Endoscopy, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0001-9605-2195
Kosaku NankiDivision of Gastroenterology and Hepatology, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0003-4232-0523
Kayoko FukuharaCenter for Diagnostic and Therapeutic Endoscopy, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-0428-8502
Yohei MikamiDivision of Gastroenterology and Hepatology, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0001-5104-4415
Shinta MizunoDivision of Gastroenterology and Hepatology, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-5472-2282
Tomohisa SujinoDivision of Gastroenterology and Hepatology, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0003-0699-6577
Makoto MutaguchiCenter for Diagnostic and Therapeutic Endoscopy, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0001-5144-6836
Makoto NaganumaDivision of Gastroenterology and Hepatology, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-4244-3243
Naohisa YahagiDivision of Research and Development for Minimally Invasive Treatment, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-9597-4750
Haruhiko OgataCenter for Diagnostic and Therapeutic Endoscopy, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-3304-3635
Takanori KanaiDivision of Gastroenterology and Hepatology, Cancer Center, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-1466-4532
Keio University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aims: The evaluation of small bowel lesions of Crohn's disease (CD) using balloon-assisted enteroscopy (BAE) is crucial because mucosal healing is associated with a good prognosis. However, BAE procedures are invasive, requiring sedation or analgesia to reduce the patient's pain. This study evaluated the clinical usefulness of a novel ultrathin single-balloon enteroscopy (SBE) procedure for CD. Methods: This single-center retrospective study included 102 CD patients who underwent trans-anal SBE between January 2012 and May 2018. Of these patients, 82 underwent enteroscopy using conventional SBE, while 20 underwent ultrathin SBE. Patients were analyzed using propensity score matching, with 20 patients per group. The median duration of the examination, terminal ileum intubation rate, median cecum intubation time, median insertion depth, adverse events, and sedated dose in each group were compared. Results: Before propensity score matching, the conventional SBE group had a larger number of surgical history patients than the ultrathin SBE group (p=0.05). After matching, the two groups did not significantly differ clinically. There were no significant differences in the mean duration of the examination, cecum intubation time, or terminal ileal intubation rate between ultrathin SBE and conventional SBE. The mean insertion depth of ultrathin SBE tended to be deeper than that of conventional SBE (p=0.09). The use of ultrathin SBE also reduced the sedative dose during needed for enteroscopy compared with conventional SBE (p=0.005). Conclusions: Novel ultrathin SBE may be less painful for CD patients than conventional SBE.

Indexed as

Crohn DiseaseSingle-Balloon EnteroscopyAdultColonoscopyDouble-Balloon EnteroscopyFemaleHumansIleumMaleMiddle AgedPropensity ScoreRetrospective StudiesYoung AdultCrohn diseaseEnteroscopySingle-balloon enteroscopyUltrathin scope

Identifiers

PMID31818049
PMCPMC7492490
OpenAlexW2994847564

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.