Evidence map›Paper›PMID 35079444›Full record

ArticleJournal of gastric cancer2021

Endoscopic Submucosal Dissection for Superficial Barrett's Neoplasia in Korea: a Single-Center Experience.

Dong Chan Joo, Gwang Ha Kim, Bong Eun Lee, Moon Won Lee, Dong Hoon Baek, Geun Am Song, Sojeong Lee, Do Youn Park

Open access · greenAbstract read
In one paragraph

Article in Journal of gastric cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Guideline
  2. Review
  3. 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

8 authors at 2 institutions in 1 country.

Dong Chan JooDepartment of Internal Medicine, Pusan National University College of Medicine, Busan, Korea.ORCID https://orcid.org/0000-0001-8734-4938
Gwang Ha KimDepartment of Internal Medicine, Pusan National University College of Medicine, Busan, Korea.ORCID https://orcid.org/0000-0001-9721-5734
Bong Eun LeeDepartment of Internal Medicine, Pusan National University College of Medicine, Busan, Korea.ORCID https://orcid.org/0000-0003-2734-2134
Moon Won LeeDepartment of Internal Medicine, Pusan National University College of Medicine, Busan, Korea.ORCID https://orcid.org/0000-0002-8411-6398
Dong Hoon BaekDepartment of Internal Medicine, Pusan National University College of Medicine, Busan, Korea.ORCID https://orcid.org/0000-0003-1512-9475
Geun Am SongDepartment of Internal Medicine, Pusan National University College of Medicine, Busan, Korea.ORCID https://orcid.org/0000-0003-2100-8522
Sojeong LeeDepartment of Pathology, Pusan National University College of Medicine, Busan, Korea.ORCID https://orcid.org/0000-0002-6465-9811
Do Youn ParkSt. Maria Pathology Laboratory, Busan, Korea.ORCID https://orcid.org/0000-0001-7641-1509
Pusan National University · KRPusan National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWhile the incidence of Barrett's neoplasia has been increasing in Western countries, the disease remains rare in Asian countries. Therefore, very few studies have investigated the endoscopic treatment for Barrett's neoplasia in Korea. Endoscopic submucosal dissection (ESD) enables en bloc and complete resection of gastrointestinal neoplastic lesions. This study aimed to evaluate the therapeutic outcomes of ESD for Barrett's neoplasia in a single center in Korea and to examine the predictive factors for incomplete resection. MATERIALS AND

methodsWe conducted a retrospective observational study of 18 patients who underwent ESD for superficial Barrett's neoplasia (dysplasia and early cancer) between January 2010 and December 2019 at Pusan National University Hospital. The therapeutic outcomes of ESD and procedure-related complications were analyzed.

resultsEn bloc resection, complete resection, and curative resection were performed in 94%, 72%, and 61% of patients, respectively. Histopathology (submucosal or deeper invasion of the tumor) was a significant predictive factor for incomplete resection (P=0.047). Procedure-related bleeding and stenosis were not observed, whereas perforation occurred in one case. During the median follow-up period of 12 months (range, 6-74 months), local recurrence occurred in 2 patients with incomplete resection, one patient underwent repeat ESD, and the other patient received concurrent chemoradiotherapy. The 3-year overall and disease-specific survival rates were 73% and 93%, respectively.

conclusionsESD seems to be an effective and safe treatment for superficial Barrett's neoplasia in Korea. Nevertheless, the suitability of ESD for Barrett's cancer cases should be determined considering the high risk of deep submucosal invasion.

Indexed as

AdenocarcinomaBarrett’s esophagusEndoscopic submucosal dissectionNeoplasm

Identifiers

PMID35079444
PMCPMC8753282
OpenAlexW4200472020

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.