Evidence map›Paper›PMID 32252502›Full record

ArticleIntestinal research2020

Prototype single-balloon enteroscopy with passive bending and high force transmission improves depth of insertion in the small intestine.

Yasuhiro Morita, Shigeki Bamba, Osamu Inatomi, Kenichiro Takahashi, Takayuki Imai, Masaki Murata, Masashi Ohno, Masaya Sasaki, Tomoyuki Tsujikawa, Akira Andoh

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Article in Intestinal research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

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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

5 citing papers in PubMed, 7 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

10 authors at 1 institution in 1 country.

Yasuhiro MoritaDepartment of Medicine, Shiga University of Medical Science, Otsu, Japan.
Shigeki BambaDivision of Clinical Nutrition, Shiga University of Medical Science, Otsu, Japan.
Osamu InatomiDepartment of Medicine, Shiga University of Medical Science, Otsu, Japan.
Kenichiro TakahashiDepartment of Medicine, Shiga University of Medical Science, Otsu, Japan.
Takayuki ImaiDepartment of Medicine, Shiga University of Medical Science, Otsu, Japan.
Masaki MurataDepartment of Medicine, Shiga University of Medical Science, Otsu, Japan.
Masashi OhnoDepartment of Medicine, Shiga University of Medical Science, Otsu, Japan.
Masaya SasakiDivision of Clinical Nutrition, Shiga University of Medical Science, Otsu, Japan.
Tomoyuki TsujikawaDepartment of Comprehensive Internal Medicine, Shiga University of Medical Science, Otsu, Japan.
Akira AndohDepartment of Medicine, Shiga University of Medical Science, Otsu, Japan.
Shiga University of Medical Science · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsWe retrospectively analyzed Crohn's disease (CD) patients with small intestinal strictures who underwent single-balloon enteroscopy (SBE) to ascertain whether prototype SBEs with a passive bending mechanism and high force transmission insertion tube had better insertability in the small intestine than a conventional SBE.

methodsAmong 253 CD patients who underwent SBE, we identified 94 CD patients who had undergone attempted endoscopic balloon dilatation (EBD) for small intestinal stenosis for inclusion in this study. We analyzed whether the type of scope used for their initial procedure affected the cumulative surgery-free rate. For the insertability analysis, patients who underwent SBE at least twice were divided into 3 groups according to the type of scope used: conventional SBE only, prototype SBE only, and both conventional and prototype SBEs. For each group, depth of insertion, procedure time, and number of EBDs were compared in the same patient at different time points.

resultsThe success rate of EBD was 88.3%. The 5- and 10-year cumulative surgery-free rate was 75.7% and 72.8%, respectively. Cox regression analysis indicated that the factors contributing to surgery were long stricture (≥2 cm), EBD failure, and elevated Crohn's Disease Activity Index, but not the type of scope used for EBD. The prototype SBEs significantly improved the depth of insertion (P=0.03, Wilcoxon's signed-rank test).

conclusionsIn CD patients with small intestinal stenosis, the prototype SBEs with a passive bending mechanism and high force transmission insertion tube did not improve long-term EBD outcome but did improve deep insertability. (Clinical Trial Registration No. UMIN000037102).

Indexed as

Balloon-assisted enteroscopyDilationDouble-balloon enteroscopy

Identifiers

PMID32252502
PMCPMC7206344
OpenAlexW3014142181

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LicenceCC BY-NC
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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.