Evidence map›Paper›PMID 34251561›Full record

SynthesisDigestive diseases and sciences2022

Endoscopic Management of Ampullary Adenomas in Familial Adenomatous Polyposis Syndrome: A Systematic Review with Pooled Analysis.

Daryl Ramai, Antonio Facciorusso, Jameel Singh, Olivia W Brooks, Houman Mirtorabi, Mohamed Barakat, Andrew Ofosu, Stephanie Mcdonough, Douglas G Adler

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Digestive diseases and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Guideline
  2. Observational
  3. Article
  4. Review
  5. Article
  6. 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

9 authors at 6 institutions in 2 countries.

Daryl RamaiDepartment of Internal Medicine, The Brooklyn Hospital Center, Brooklyn, NY, USA.
Antonio FacciorussoSection of Gastroenterology, Department of Medical Sciences, University of Foggia, 71122, Foggia, Italy.
Jameel SinghDepartment of Internal Medicine, Mather Hospital, Port Jefferson, NY, USA.
Olivia W BrooksDepartment of Internal Medicine, The Brooklyn Hospital Center, Brooklyn, NY, USA.
Houman MirtorabiDepartment of Internal Medicine, The Brooklyn Hospital Center, Brooklyn, NY, USA.
Mohamed BarakatDivision of Gastroenterology, The Brooklyn Hospital Center, Brooklyn, NY, USA.
Andrew OfosuDivision of Gastroenterology, Stanford University, Stanford, CA, USA.
Stephanie McdonoughDivision of Gastroenterology, University of Utah, Salt Lake City, UT, USA.
Douglas G AdlerCenter for Advanced Therapeutic Endoscopy, Centura Health, Porter Adventist Hospital, Denver, CO, USA. douglasadler@centura.org.ORCID 0000-0003-3214-6285
Brooklyn Hospital Center · USJohn T. Mather Memorial Hospital · USPorter Adventist Hospital · USStanford University · USUniversity of Foggia · ITUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic papillectomy is a viable therapy in ampullary lesions. Prior studies have reported on outcomes of sporadic ampullary lesions, and only small cohort studies have reported outcomes associated with familial adenomatous polyposis (FAP) syndrome.

aimsWe performed a systematic review with pooled analysis to assess the safety and efficacy of EP for treating ampullary adenomas in FAP.

methodsWe performed a comprehensive literature search of major databases from inception to May 2020. Studies that included patients with endoscopically resected ampullary lesions and FAP were eligible. The rate of technical success, en bloc resection, piecemeal resection, recurrence, and adverse events was pooled by means of a random-effects model to obtain a proportion with a 95% confidence interval (CI).

resultsSix studies, including a total of 99 patients, were included in our final analysis. Patient age ranged from 28 to 91 years. Pooled technical success was 90.3% (CI 76.9-96.3%, I

conclusionEndoscopic papillectomy offers high technical success but remains challenging in patients with FAP, particularly due to high recurrence rates.

Indexed as

AdenomaAdenomatous Polyposis ColiAmpulla of VaterCommon Bile Duct NeoplasmsDuodenal NeoplasmsLiver NeoplasmsPancreatic NeoplasmsAdultAgedAged, 80 and overHumansMiddle AgedRetrospective StudiesSphincterotomy, EndoscopicTreatment OutcomeAmpullary tumorsEndoscopic papillectomyEndoscopic resectionFamilial polyposis syndrome

Identifiers

PMID34251561
OpenAlexW3181758895

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.