Evidence map›Paper›PMID 33175367›Full record

ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2021

Argon plasma coagulation-an effective treatment for solitary rectal ulcer syndrome: A single-center experience from western India.

Apurva Shah, Shravan Bohra, Swapan Desai

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Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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  7. Editorial commentary on the Indian Journal of Gastroenterology January-February 2021.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2021
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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

3 authors at 2 institutions in 1 country.

Apurva ShahDepartment of Gastroenterology, Medical Gastroenterology, Apollo Hospitals International Limited, Bhat, Gandhinagar, 382 426, India. apurvashah411@gmail.com.ORCID 0000-0003-0648-2103
Shravan BohraDepartment of Gastroenterology, Medical Gastroenterology, Apollo Hospitals International Limited, Bhat, Gandhinagar, 382 426, India.
Swapan DesaiPathology Department, Apollo Hospitals International Limited, Ahmedabad 382 428, India.
Apollo Hospitals · INApollo Hospitals · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimSolitary rectal ulcer syndrome (SRUS) is an uncommon benign disorder of defecation. Management of ulcers is usually unsatisfactory with conventional treatment (laxatives, behavioral therapy, biofeedback, topical treatments, and surgery). Studies on the effectiveness of argon plasma coagulation (APC) for SRUS refractory to conventional treatment is lacking. The aim of the study was to examine the effect of APC with conventional therapy in controlling bleeding and healing of refractory SRUS.

methodsFourteen patients of refractory SRUS diagnosed on clinical, colonoscopic, and histological findings, refractory to conventional therapy, were offered multiple sessions of APC in addition to conventional treatment. All patients were followed up to determine bleeding control and ulcer healing.

resultsFourteen patients with a mean duration of symptoms of 9.21 ± 6.94 months were included. All the patients were advised to have a high intake of fluids and laxatives and to undergo biofeedback in addition to the APC. Lesions were located anteriorly (66%), circumferentially (25%), and posteriorly (9%). Mean follow-up duration was 7 months (3 to 12 months). APC enabled bleeding control in all the patients (100%), complete healing of ulcer in 71% (10 patients), and reduction in ulcer size to less than 50% of the initial size in the remaining 29% patients. None of the patients had any procedure-related complications like bowel perforation, infections, or fistula formation.

conclusionsAPC with conventional therapy is effective in controlling bleeding and healing in SRUS refractory to conventional treatment.

Indexed as

Argon Plasma CoagulationAdultAgedFemaleGastrointestinal HemorrhageHumansIndiaMaleMiddle AgedRectal DiseasesSyndromeTreatment OutcomeUlcerWound HealingArgon plasma coagulationBiofeedbackChronic constipationEndotherapyFecal evacuation disorderRectal bleedingRectal ulcer

Identifiers

PMID33175367
OpenAlexW3098838420

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.