Evidence map›Paper›PMID 32516774›Full record

ArticleDigestion2021

Endoscopic and Clinicopathological Features of Superficial Non-Ampullary Duodenal Tumor Based on the Mucin Phenotypes.

Yoichi Akazawa, Hiroya Ueyama, Sho Tsuyama, Atsushi Ikeda, Noboru Yatagai, Hiroyuki Komori, Tsutomu Takeda, Kohei Matsumoto, Kenshi Matsumoto, Takashi Hashimoto and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Digestion, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 27 citations in OpenAlex.

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  10. A narrative review: narrow-band imaging endoscopic classifications.Quantitative imaging in medicine and surgery · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Yoichi AkazawaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Hiroya UeyamaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan, psyro@juntendo.ac.jp.
Sho TsuyamaDepartment of Human Pathology, Juntendo University School of Medicine, Tokyo, Japan.
Atsushi IkedaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Noboru YatagaiDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Hiroyuki KomoriDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Tsutomu TakedaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Kohei MatsumotoDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Kenshi MatsumotoDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Takashi HashimotoDepartment of Esophageal and Gastroenterological Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Natsumi TomitaDepartment of Esophageal and Gastroenterological Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Yoshiaki KajiyamaDepartment of Esophageal and Gastroenterological Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Motohiko KatoDivision of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan.
Takashi YaoDepartment of Human Pathology, Juntendo University School of Medicine, Tokyo, Japan.
Akihito NagaharaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Juntendo University · JPKeio University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWe aimed to clarify the endoscopic/clinicopathological features of superficial non-ampullary duodenal epithelial tumors (SNADETs) based on their mucin phenotypes.

methodsWe analyzed 62 SNADET lesions and classified them based on mucin phenotypic expression. Endoscopic and clinicopathological findings were compared according to mucin phenotypes.

resultsEleven lesions had the gastric phenotype (GP) and 43 lesions had the intestinal phenotype (IP). All GP lesions were located in the first portion of the duodenum, while most IP lesions (72.1%) were located in the second portion (p < 0.01). Tumor size was significantly larger in the GP than in the IP group (14.4 mm vs. 10.2 mm, p < 0.05). Reddish color (72.7% in GP vs. 37.2% in IP, p < 0.05), type 0-I (72.7% vs. 11.6%, p < 0.01), lobular/granular pattern (81.8% vs. 4.7%, p < 0.01), and category 4/5 in Vienna classification (81.8% vs. 30.2%, p < 0.01) were observed significantly more often in the GP than in the IP group. Regarding findings of magnifying endoscopy with narrow-band imaging (M-NBI), white opaque substance (22.2% in GP vs. 89.7% in IP, p < 0.01) and light blue crest (0% vs. 43.6%, p < 0.05) were significantly less frequently observed in the GP group. Oval-shaped marginal epithelium (66.7% vs. 17.9%, p < 0.01), dense pattern (55.6% vs. 2.6%, p < 0.01), and dilatation of the intervening part (100% vs. 12.8%, p < 0.01) were more frequently observed in the GP group.

conclusionsSNADETs showed distinct endoscopic/clinicopathological features according to the mucin phenotype. Tumor location, coloration, macroscopic type, and endoscopic findings including M-NBI are useful to distinguish the mucin phenotypes of SNADETs.

Indexed as

Duodenal NeoplasmsDuodenumEndoscopyHumansMucinsPhenotypeMucinsMagnifying endoscopy with narrow-band imagingMucin phenotypeNon-ampullary duodenal tumor

Identifiers

PMID32516774
PMCPMC8491506
OpenAlexW3033181741

What OpenQuestion holds

Textmetadata
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.