Evidence map›Paper›PMID 33025344›Full record

ArticleClinical journal of gastroenterology2021

Gastric Dieulafoy's lesion with subepithelial lesion-like morphology.

Takanao Tanaka, Takeshi Sugaya, Keiichi Tominaga, Mimari Kanazawa, Tsunehiro Suzuki, Mutsumi Ishikawa, Akira Yamamiya, Takahiro Arisaka, Yuichi Majima, Makoto Iijima and 2 more

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In one paragraph

Article in Clinical journal of gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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 1 institution in 1 country.

Takanao TanakaDepartment of Gastroenterology, Dokkyo Medical University, 880, Kitakobayashi, Shimotsuga, Mibu, Tochigi, 321-0293, Japan. tana1986@dokkyomed.ac.jp.
Takeshi SugayaDepartment of Gastroenterology, Dokkyo Medical University, 880, Kitakobayashi, Shimotsuga, Mibu, Tochigi, 321-0293, Japan.
Keiichi TominagaDepartment of Gastroenterology, Dokkyo Medical University, 880, Kitakobayashi, Shimotsuga, Mibu, Tochigi, 321-0293, Japan.
Mimari KanazawaDepartment of Gastroenterology, Dokkyo Medical University, 880, Kitakobayashi, Shimotsuga, Mibu, Tochigi, 321-0293, Japan.
Tsunehiro SuzukiDepartment of Gastroenterology, Dokkyo Medical University, 880, Kitakobayashi, Shimotsuga, Mibu, Tochigi, 321-0293, Japan.
Mutsumi IshikawaDepartment of Gastroenterology, Dokkyo Medical University, 880, Kitakobayashi, Shimotsuga, Mibu, Tochigi, 321-0293, Japan.
Akira YamamiyaDepartment of Gastroenterology, Dokkyo Medical University, 880, Kitakobayashi, Shimotsuga, Mibu, Tochigi, 321-0293, Japan.
Takahiro ArisakaDepartment of Gastroenterology, Dokkyo Medical University, 880, Kitakobayashi, Shimotsuga, Mibu, Tochigi, 321-0293, Japan.
Yuichi MajimaDepartment of Gastroenterology, Dokkyo Medical University, 880, Kitakobayashi, Shimotsuga, Mibu, Tochigi, 321-0293, Japan.
Makoto IijimaDepartment of Gastroenterology, Dokkyo Medical University, 880, Kitakobayashi, Shimotsuga, Mibu, Tochigi, 321-0293, Japan.
Kenichi GodaDepartment of Gastroenterology, Dokkyo Medical University, 880, Kitakobayashi, Shimotsuga, Mibu, Tochigi, 321-0293, Japan.
Atsushi IrisawaDepartment of Gastroenterology, Dokkyo Medical University, 880, Kitakobayashi, Shimotsuga, Mibu, Tochigi, 321-0293, Japan.
Dokkyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most cases of Dieulafoy's lesion, a rare cause of upper gastrointestinal bleeding, occur in the upper gastric corpus, usually with no edematous bulging or fold convergence around the mucosal defect. This report describes a case of Dieulafoy's lesion with subepithelial lesion (SEL)-like morphology. Endoscopic treatment by hemoclipping was difficult. Because of repeated bleeding, abdominal dynamic contrast computed tomography (CT) was conducted. Results showed a large caliber, tortuous artery branching directly from the celiac artery and feeding into the gastric wall of the gastric fundus. Rupture of this vessel in the submucosa was thought to be responsible for the SEL-like morphology. All findings indicated endoscopic treatment from the gastric mucosal side was too difficult. Therefore, we treated the lesion using interventional radiology (IR) technique of vascular embolization. If an SEL-like Dieulafoy's lesion cannot be treated by endoscopic hemostasis, then IR might be necessary to treat the vascular anomaly.

Indexed as

Hemostasis, EndoscopicStomach DiseasesGastric MucosaGastrointestinal HemorrhageHumansCaliber persistent arteryCoil embolizationDieulafoy’s lesionSubepithelial lesion

Identifiers

PMID33025344
OpenAlexW3092199438

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.