Evidence map›Paper›PMID 32213068›Full record

Observational studyUnited European gastroenterology journal2020

Small bowel polyp resection using device-assisted enteroscopy in Peutz-Jeghers Syndrome: Results of a specialised tertiary care centre.

G Perrod, E Samaha, E Perez-Cuadrado-Robles, A Berger, H Benosman, S Khater, A Vienne, C-A Cuenod, A Zaanan, P Laurent-Puig and 2 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in United European gastroenterology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 25 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

12 authors at 3 institutions in 2 countries.

G PerrodGastroenterology and Endoscopy Unit, Georges Pompidou European Hospital, Paris, France.
E SamahaGastroenterology and Endoscopy Unit, Georges Pompidou European Hospital, Paris, France.
E Perez-Cuadrado-RoblesGastroenterology and Endoscopy Unit, Georges Pompidou European Hospital, Paris, France.
A BergerGastroenterology and Endoscopy Unit, Georges Pompidou European Hospital, Paris, France.
H BenosmanGastroenterology and Endoscopy Unit, Georges Pompidou European Hospital, Paris, France.
S KhaterGastroenterology and Endoscopy Unit, Georges Pompidou European Hospital, Paris, France.
A VienneGastroenterology and Endoscopy Unit, Georges Pompidou European Hospital, Paris, France.
C-A CuenodParis Descartes University, Paris, France.
A ZaananParis Descartes University, Paris, France.
P Laurent-PuigParis Descartes University, Paris, France.
G RahmiGastroenterology and Endoscopy Unit, Georges Pompidou European Hospital, Paris, France.
C CellierGastroenterology and Endoscopy Unit, Georges Pompidou European Hospital, Paris, France.
Délégation Paris 5 · FRHôpital Européen Georges-Pompidou · FRHealth First · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEnteroscopy resection of small bowel polyps in Peutz-Jeghers syndrome has only been described in small case series. Herein, we aimed to assess the efficacy of enteroscopy resection of small bowel polyps within a specialised tertiary care centre and the impact on intraoperative enteroscopy.

methodsThis was an observational single-centre study. All adult Peutz-Jeghers syndrome patients followed in the Predisposition Digestive Ile-de-France network who underwent an endoscopic resection of at least one small bowel polyp ≥ 1 cm by enteroscopy between 2002-2015 were included. Small bowel polyps were detected under a dedicated screening programme by previous capsule endoscopy and/or magnetic resonance enterography, performed every 2-3 years. Complete treatment was defined as the absence of polyps ≥ 1 cm after conventional endoscopic resection. Intraoperative enteroscopy or surgical resection were indicated in incomplete treatments. The overall complete treatment rate including conventional enteroscopy and intraoperative enteroscopy was also considered.

resultsEndoscopic resection of 216 small bowel polyps (median: 8.6 per patient, size: 6-60 mm) was performed by 50 enteroscopies in 25 patients (mean age: 36 years, range: 18-71, 56% male) with small bowel polyp ≥ 1 cm. Twenty-three patients (92%) underwent 42 screening capsule endoscopies and 14 (57%) had 23 magnetic resonance enterographies during a median follow-up of 60 months. Complete treatment was achieved in 76%. Intraoperative enteroscopy and surgical resection were performed in four (16%) and two (8%) patients. Intraoperative enteroscopy improved by 16% the complete treatment rate and the overall rate was 92%. The complication rate was 6%.

conclusionThis long-term study confirmed the efficacy and safety of endoscopic resection of small bowel polyps in Peutz-Jeghers syndrome. Intraoperative enteroscopy can be a complementary approach in selected cases.

Indexed as

AdolescentAdultAgedBalloon EnteroscopyBiopsyCapsule EndoscopyFemaleFollow-Up StudiesHumansIntestinal MucosaIntestinal PolypsIntestine, SmallIntraoperative CareMagnetic Resonance ImagingMaleMiddle Agedcapsule endoscopyDevice-assisted enteroscopyhamartomatous polypsPeutz-Jeghers syndromesmall bowel polyps

Identifiers

PMID32213068
PMCPMC7079274
OpenAlexW2972828003

What OpenQuestion holds

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Registered trials

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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.