Evidence map›Paper›PMID 32648038›Full record

ArticleSurgical endoscopy2021

Technical success, resection status, and procedural complication rate of colonoscopic full-wall resection: a pooled analysis from 7 hospitals of different care levels.

Irmengard Krutzenbichler, Markus Dollhopf, Helmut Diepolder, Andreas Eigler, Martin Fuchs, Simon Herrmann, Gerhard Kleber, Björn Lewerenz, Christoph Kaiser, Tilman Lilje and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Endoscopic Full Thickness Resection Device (FTRDDiagnostics (Basel, Switzerland) · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Prophylactic appendiceal retrograde intraluminal stent placement (PARIS).VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2021
    Article
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

16 authors at 7 institutions in 1 country.

Irmengard Krutzenbichler *Department of Gastroenterology, Hepatology and Gastrointestinal Oncology, Bogenhausen Academic Teaching Hospital, Technical University of Munich, Munich, Germany.
Markus Dollhopf *Division of Gastroenterology and Hepatology, Klinikum Neuperlach, Munich, Germany.
Helmut DiepolderKliniken Ostallgäu-Kaufbeuren, Klinikum Kaufbeuren, Germany.
Andreas EiglerKlinik für Innere Medizin I, Klinikum Dritter Orden München-Nymphenburg, Munich, Germany.
Martin FuchsDepartment of Gastroenterology, Hepatology and Gastrointestinal Oncology, Bogenhausen Academic Teaching Hospital, Technical University of Munich, Munich, Germany.
Simon HerrmannDivision of Gastroenterology and Hepatology, Klinikum Neuperlach, Munich, Germany.
Gerhard KleberMedical Department I, Kliniken Ostalb, Aalen, Germany.
Björn LewerenzDepartment of Gastroenterology, Hepatology and Gastrointestinal Oncology, Bogenhausen Academic Teaching Hospital, Technical University of Munich, Munich, Germany.
Christoph KaiserKlinik für Innere Medizin I, Klinikum Dritter Orden München-Nymphenburg, Munich, Germany.
Tilman LiljeKliniken Ostallgäu-Kaufbeuren, Klinikum Kaufbeuren, Germany.
Timo RathLudwig Demling Endoscopy Center of Excellence, Division of Gastroenterology, Friedrich-Alexander-University, 91054, Erlangen, Germany.
Ayman AghaKlinik für Allgemein-, Viszeral-, Endokrine Und Minimal-Invasive Chirurgie, Klinikum Bogenhausen, Technical University of Munich, Munich, Germany.
Francesco VitaliLudwig Demling Endoscopy Center of Excellence, Division of Gastroenterology, Friedrich-Alexander-University, 91054, Erlangen, Germany.
Claus SchäferMedical Clinic II, Klinikum Neumarkt, Neumarkt, Germany.
Wolfgang ScheppDepartment of Gastroenterology, Hepatology and Gastrointestinal Oncology, Bogenhausen Academic Teaching Hospital, Technical University of Munich, Munich, Germany.
Felix GundlingDepartment of Gastroenterology, Hepatology and Gastrointestinal Oncology, Bogenhausen Academic Teaching Hospital, Technical University of Munich, Munich, Germany. Felix.Gundling@gk.de.
München Klinik Bogenhausen · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEMünchen Klinik · DEMünchen Klinik Neuperlach · DEGemeinschaftsklinikum Mittelrhein · DEKlinikum Region Hannover · DEOstalb-Klinikum Aalen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEndoscopic full-thickness resection (eFTR) using the full-thickness resection device (FTRD®) is a novel minimally invasive procedure that allows the resection of various lesions in the gastrointestinal tract including the colorectum. Real-world data outside of published studies are limited. The aim of this study was a detailed analysis of the outcomes of colonoscopic eFTR in different hospitals from different care levels in correlation with the number of endoscopists performing eFTR. MATERIAL AND

methodsIn this case series, the data of all patients who underwent eFTR between November 2014 and June 2019 (performed by a total of 22 endoscopists) in 7 hospitals were analyzed retrospectively regarding rates of technical success, R0 resection, and procedure-related complications.

resultsColonoscopic eFTR was performed in 229 patients (64.6% men; average age 69.3 ± 10.3 years) mainly on the basis of the following indication: 69.9% difficult adenomas, 21.0% gastrointestinal adenocarcinomas, and 7.9% subepithelial tumors. The average size of the lesions was 16.3 mm. Technical success rate of eFTR was achieved in 83.8% (binominal confidence interval 78.4-88.4%). Overall, histologically complete resection (R0) was achieved in 77.2% (CI 69.8-83.6%) while histologically proven full-wall excidate was confirmed in 90.0% (CI 85.1-93.7%). Of the resectates obtained (n = 210), 190 were resected en bloc (90.5%). We did not observe a clear improvement of technical success and R0 resection rate over time by the performing endoscopists. Altogether, procedure-related complications were observed in 17.5% (mostly moderate) including 2 cases of acute gangrenous appendicitis requiring operation. DISCUSSION: In this pooled analysis, eFTR represents a feasible, effective, and safe minimally invasive endoscopic technique.

Indexed as

AdenomaColonoscopyAgedFemaleHospitalsHumansMaleRetrospective StudiesTreatment OutcomeEndoscopic full-thickness resection (eFTR)Endoscopic resectionFull-thickness resection device (FTRD®)Polypectomy‘WALL RESECT’

Identifiers

PMID32648038
PMCPMC8195906
OpenAlexW3041110601

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.