Evidence map›Paper›PMID 34433725›Full record

Observational studyInternal medicine (Tokyo, Japan)2022

Characteristics and Treatment Outcomes of Small-bowel Angioectasia in Systemic Sclerosis Patients: A Retrospective Observational Study.

Sumio Iio, Shiro Oka, Akihiko Sumioka, Akiyoshi Tsuboi, Hidenori Tanaka, Ken Yamashita, Yuichi Hiyama, Takahiro Kotachi, Hidehiko Takigawa, Ryohei Hayashi and 3 more

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Internal medicine (Tokyo, Japan), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
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

13 authors at 1 institution in 1 country.

Sumio IioDepartment of Gastroenterology and Metabolism, Hiroshima University Hospital, Japan.
Shiro OkaDepartment of Gastroenterology and Metabolism, Hiroshima University Hospital, Japan.
Akihiko SumiokaDepartment of Gastroenterology and Metabolism, Hiroshima University Hospital, Japan.
Akiyoshi TsuboiDepartment of Endoscopy, Hiroshima University Hospital, Japan.
Hidenori TanakaDepartment of Endoscopy, Hiroshima University Hospital, Japan.
Ken YamashitaDepartment of Endoscopy, Hiroshima University Hospital, Japan.
Yuichi HiyamaDepartment of Endoscopy, Hiroshima University Hospital, Japan.
Takahiro KotachiDepartment of Endoscopy, Hiroshima University Hospital, Japan.
Hidehiko TakigawaDepartment of Endoscopy, Hiroshima University Hospital, Japan.
Ryohei HayashiDepartment of Endoscopy, Hiroshima University Hospital, Japan.
Ryo YugeDepartment of Endoscopy, Hiroshima University Hospital, Japan.
Yuji UrabeDepartment of Regeneration and Medicine Center for Translational and Clinical Research, Hiroshima University Hospital, Japan.
Shinji TanakaDepartment of Endoscopy, Hiroshima University Hospital, Japan.
Hiroshima University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Systemic sclerosis (SSc) is defined as an autoimmune disease presenting with fibrosis of various organs and vascular endothelial damage. Vascular lesions, including small-bowel angioectasias, are also frequently detected in SSc patients. Polidocanol injection (PDI) is a safe and effective hemostatic treatment for gastrointestinal bleeding. We evaluated the outcomes of PDI for small-bowel angioectasia in SSc patients. Methods We retrospectively evaluated 65 consecutive SSc patients (61 women; mean age, 64.3 years old) who underwent capsule endoscopy (CE) and/or double-balloon endoscopy at Hiroshima University Hospital between April 2012 and December 2019. Patients Patients were stratified according to the presence of small-bowel angioectasia. Among patients who underwent CE during the same period, those with small-bowel angioectasia without concomitant diseases were compared with SSc patients with small-bowel angioectasia. Clinical and endoscopic characteristics, treatment outcomes, and the incidence of metachronous small-bowel angioectasia after PDI were evaluated. Results SSc patients with small-bowel angioectasia exhibited significantly lower hemoglobin levels and a significantly higher incidence of skin telangiectasia than those without small-bowel angioectasia. On a multivariate analysis of the presence of small-bowel angioectasia, anemia and skin telangiectasia were significant independent factors. SSc patients with small-bowel angioectasia included a higher proportion of women and exhibited a significantly higher incidence of metachronous small-bowel angioectasia than X. The characteristics of small-bowel angioectasia and outcomes of PDI were not significantly different between the two groups. No post-treatment rebleeding cases or adverse events were noted. Conclusion CE should be performed for SSc patients with anemia and/or skin telangiectasia. PDI is effective for SSc patients with small-bowel angioectasia.

Indexed as

Capsule EndoscopyScleroderma, SystemicFemaleGastrointestinal HemorrhageHumansIntestine, SmallMiddle AgedRetrospective StudiesTreatment Outcomeangioectasiacapsule endoscopypolidocanol injectionsmall-bowelsystemic sclerosis

Identifiers

PMID34433725
PMCPMC8943382
OpenAlexW3195635826

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.