Evidence map›Paper›PMID 33471257›Full record

ReviewJournal of gastrointestinal cancer2021

Endoscopic Management of Diminutive Duodenal Neuroendocrine Tumors.

Natasha Klemm, Destiny Lu-Cleary, Daljeet Chahal, Roberto Trasolini, Eric Lam, Fergal Donnellan

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Journal of gastrointestinal cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 9 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

6 authors at 3 institutions in 1 country.

Natasha KlemmDepartment of Medicine, University of British Columbia, 319-630 Broadway East, Vancouver, BC, V5T 0J1, Canada. nk.klemm@gmail.com.ORCID http://orcid.org/0000-0001-9674-9355
Destiny Lu-ClearyFaculty of Medicine, University of British Columbia, 119-2190 West 7th, Vancouver, BC, V6K 4K7, Canada.
Daljeet ChahalDivision of Gastroenterology Fellowship, University of British Columbia, Vancouver, BC, Canada.
Roberto TrasoliniDivision of Gastroenterology Fellowship, University of British Columbia, Vancouver, BC, Canada.
Eric LamDivision of Gastroenterology, St. Paul's Hospital, 770-1190 Hornby St., Vancouver, BC, V6Z 2K5, Canada.
Fergal DonnellanGordon and Leslie Diamond Health Centre, Vancouver General Hospital, 5153-2775 Laurie St., Vancouver, BC, V5Z 1M9, Canada.
University of British Columbia · CASt. Paul's Hospital · CAVancouver General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough duodenal neuroendocrine tumors (dNETs) are rare, the incidence, particularly for lesions ≤ 10 mm, continues to rise with the advent of widely available, high-quality endoscopy. Given their rarity and controversy regarding prognostication factors, limited guidelines exist for resection of well-differentiated, ≤ 20-mm dNETs. Importantly, lesions ≤ 10 mm in a duodenal location are ideal for consideration of endoscopic management given both morbidity and technical challenges associated with surgery and their accessibility to a wide range of endoscopic techniques.

objectivesThe primary objective of this study was to demonstrate the safety and efficacy of the endoscopic resection of dNETs <10 mm in a case series and literature review.

methodsWe performed a literature review and present a series of nine cases to demonstrate the viability of endoscopic resection for diminutive dNETs as an alternative to surgery.

resultsOur case series included nine well-differentiated diminutive dNETs in seven patients, the majority resected using endoscopic mucosal resection (EMR), 67%, and there was no residual disease at follow-up. The literature review of 178 patients demonstrated that EMR was the most used method of resection of diminutive dNETs, 81%, compared to endoscopic submucosal dissection, 19%. The most common complication was intraoperative bleeding in 9.55%, and only 2.25% of patients had recurrence.

conclusionWhile complications may arise with endoscopic resection of diminutive dNETs, they are usually managed endoscopically and compare favorably with the literature on surgical complication rates and typically result in shorter hospitalizations.

Indexed as

AgedCanadaDuodenal NeoplasmsEndoscopic Mucosal ResectionEndoscopyFemaleHumansMaleMiddle AgedNeuroendocrine TumorsRetrospective StudiesCarcinoid tumorsDuodenal neuroendocrine tumorsEndoscopy

Identifiers

PMID33471257
OpenAlexW3122423691

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.