Evidence map›Paper›PMID 35310735›Full record

ReviewDEN open2022

Recent approach for preventing complications in upper gastrointestinal endoscopic submucosal dissection.

Waku Hatta, Tomoyuki Koike, Hiroko Abe, Yohei Ogata, Masahiro Saito, Xiaoyi Jin, Takeshi Kanno, Kaname Uno, Naoki Asano, Akira Imatani and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in DEN open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.8field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Duodenal mucosal autotransplantation.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. An effective and safe strategy for managing the accidental deployment of an over-the-scope clip during the closure of a duodenal perforation.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

11 authors at 1 institution in 1 country.

Waku HattaDivision of Gastroenterology Tohoku University Graduate School of Medicine Miyagi Japan.ORCID https://orcid.org/0000-0001-9717-0281
Tomoyuki KoikeDivision of Gastroenterology Tohoku University Graduate School of Medicine Miyagi Japan.ORCID https://orcid.org/0000-0001-6472-3257
Hiroko AbeDivision of Gastroenterology Tohoku University Graduate School of Medicine Miyagi Japan.
Yohei OgataDivision of Gastroenterology Tohoku University Graduate School of Medicine Miyagi Japan.
Masahiro SaitoDivision of Gastroenterology Tohoku University Graduate School of Medicine Miyagi Japan.
Xiaoyi JinDivision of Gastroenterology Tohoku University Graduate School of Medicine Miyagi Japan.
Takeshi KannoDivision of Gastroenterology Tohoku University Graduate School of Medicine Miyagi Japan.
Kaname UnoDivision of Gastroenterology Tohoku University Graduate School of Medicine Miyagi Japan.
Naoki AsanoDivision of Gastroenterology Tohoku University Graduate School of Medicine Miyagi Japan.
Akira ImataniDivision of Gastroenterology Tohoku University Graduate School of Medicine Miyagi Japan.
Atsushi MasamuneDivision of Gastroenterology Tohoku University Graduate School of Medicine Miyagi Japan.
Tohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although endoscopic submucosal dissection (ESD) is a minimally invasive treatment method for upper gastrointestinal (GI) tumors, patients undergoing upper GI ESD sometimes fall into a serious condition from complications. Thus, it is important to fully understand how to prevent complications when performing upper GI ESD. One of the major complications in esophageal and gastric ESD is intraoperative perforation. To prevent this complication, blind dissection should be avoided. Traction-assisted ESD is a useful technique for maintaining good endoscopic view. This method was proven to reduce the incidence of intraoperative perforation, which would become a standard technique in esophageal and gastric ESD. In gastric ESD, delayed bleeding is the most common complication. Recently, a novel prediction model (BEST-J score) consisting of 10 factors with four risk categories for delayed bleeding in gastric ESD was established, and a free mobile application is now available. For reducing delayed bleeding in gastric ESD, vonoprazan ≥20 mg/day is the sole reliable method in the current status. Duodenal ESD is still challenging with a much higher frequency of complications, such as perforation and delayed bleeding, than ESD in other organs. However, with the development of improved devices and techniques, the frequency of complications in duodenal ESD has been decreasing. To prevent intraoperative perforation, some ESD techniques, such as using the distal tips of the Clutch Cutter, were developed. An endoscopic mucosal defect closure technique would be mandatory for preventing delayed complications. However, several unresolved issues, including standardization of duodenal ESD, remain and further studies are demanded.

Indexed as

complicationsduodenumendoscopic submucosal dissectionesophagusstomach

Identifiers

PMID35310735
PMCPMC8828199
OpenAlexW3211335017

What OpenQuestion holds

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LicenceCC BY
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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.