Evidence map›Paper›PMID 34733525›Full record

ArticleGastroenterology report2021

Characteristics of superficial esophageal squamous cell carcinomas undetectable with narrow-band imaging endoscopy.

Shingo Ono, Akira Dobashi, Hiroto Furuhashi, Akio Koizumi, Hiroaki Matsui, Yuko Hara, Kazuki Sumiyama

Open access · diamondAbstract read
In one paragraph

Article in Gastroenterology report, 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
1.0field-weighted citation impact, top 23% 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

7 authors at 1 institution in 1 country.

Shingo OnoDepartment of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.
Akira DobashiDepartment of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.
Hiroto FuruhashiDepartment of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.
Akio KoizumiDepartment of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.
Hiroaki MatsuiDepartment of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.
Yuko HaraDepartment of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.
Kazuki SumiyamaDepartment of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.
Jikei University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe detection rate of narrow-band imaging (NBI) for superficial esophageal squamous cell carcinoma (SESCC), including high-grade intraepithelial neoplasia, is significantly higher than that of white-light endoscopy. However, there are SESCCs that are undetectable by NBI but detectable by Lugol chromoendoscopy (LCE) and the characteristics of these SESCCs are still unknown. Thus, this study aimed to clarify the characteristics of SESCC that are undetectable using NBI.

methodsPatients with current SCC or a history of SCC in the head and neck or in the esophagus were enrolled. The inspection of the esophagus was initiated by NBI, followed by LCE. Biopsies were taken of all suspected SESCC lesions during NBI observation and Lugol-voiding lesions (LVLs) that were irregularly shaped and >5 mm and/or pink in color during LCE observation. The characteristics of SESCC that were undetectable with NBI were statistically analysed.

resultsOverall, 147 lesions in 105 cases were histologically diagnosed as SESCC. Twenty in 15 cases were NBI-undetectable lesions, all of which were macroscopic flat type (0-IIb). The median sizes of the NBI-undetectable lesions and NBI-detectable lesions were both 15 mm (

conclusionsThe detection of SESCCs with NBI is challenging when lesions are morphologically completely flat, in cases with numerous irregularly shaped LVLs, and if located at the anterior wall.

Indexed as

esophageal squamous cell carcinomaLugol chromoendoscopyLugol-voiding lesionsnarrow-band imaging

Identifiers

PMID34733525
PMCPMC8560036
OpenAlexW3191831777

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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.