Evidence map›Paper›PMID 37082738›Full record

ArticleDEN open2023

Maintenance of complete mucosal healing is associated with avoiding restenosis after endoscopic balloon dilation of Crohn's disease-related small intestinal strictures.

Ulzii Dashnyam, Manabu Nagayama, Tomonori Yano, Hirotsugu Sakamoto, Makiko Mieno, Jun Owada, Kunihiko Oguro, Tsevelnorov Khurelbaatar, Keijiro Sunada, Alan Kawarai Lefor and 1 more

Open access · goldAbstract read
In one paragraph

Article in DEN open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.2field-weighted citation impact, top 12% 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, 7 citations in OpenAlex.

  1. Observational
  2. Article
  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

11 authors at 1 institution in 2 countries.

Ulzii DashnyamDepartment of Medicine Division of Gastroenterology Jichi Medical University Tochigi Japan.ORCID https://orcid.org/0000-0002-2616-7947
Manabu NagayamaDepartment of Medicine Division of Gastroenterology Jichi Medical University Tochigi Japan.ORCID https://orcid.org/0000-0003-4088-2944
Tomonori YanoDepartment of Medicine Division of Gastroenterology Jichi Medical University Tochigi Japan.ORCID https://orcid.org/0000-0002-0160-432X
Hirotsugu SakamotoDepartment of Medicine Division of Gastroenterology Jichi Medical University Tochigi Japan.ORCID https://orcid.org/0000-0002-2458-1693
Makiko MienoDepartment of Medical Informatics Center for Information Jichi Medical University Tochigi Japan.ORCID https://orcid.org/0000-0002-3510-9941
Jun OwadaDepartment of Medicine Division of Gastroenterology Jichi Medical University Tochigi Japan.ORCID https://orcid.org/0000-0002-8203-7661
Kunihiko OguroDepartment of Medicine Division of Gastroenterology Jichi Medical University Tochigi Japan.ORCID https://orcid.org/0000-0002-2267-9304
Tsevelnorov KhurelbaatarDepartment of Medicine Division of Gastroenterology Jichi Medical University Tochigi Japan.ORCID https://orcid.org/0000-0002-7257-0219
Keijiro SunadaDepartment of Medicine Division of Gastroenterology Jichi Medical University Tochigi Japan.
Alan Kawarai LeforDepartment of Surgery Jichi Medical University Tochigi Japan.ORCID https://orcid.org/0000-0001-6673-5630
Hironori YamamotoDepartment of Medicine Division of Gastroenterology Jichi Medical University Tochigi Japan.ORCID https://orcid.org/0000-0002-3601-1153
Jichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Endoscopic balloon dilation (EBD) is an effective, minimally invasive treatment for Crohn's disease (CD) related intestinal strictures. However, restenosis frequently occurs and requires repetitive EBD or surgical resection. Since previous studies could not evaluate restenosis based on stricture diameter, factors affecting restenosis after EBD were unclear. This study aimed to identify these factors by precisely measuring the diameter of small intestinal strictures in patients with CD. Methods: This single-center retrospective study enrolled patients with CD with de novo small intestinal strictures who underwent two double-balloon enteroscopy sessions (EBD and follow-up) between January 2016 and October 2021. Clinical and endoscopic data were obtained from electronic medical records. A calibrated small-caliber-tip transparent hood was used to precisely measure stricture diameters. Multivariate analysis was performed to identify factors associated with restenosis. Results: Forty-eight patients (37 male) were analyzed. The total number of strictures detected decreased from 162 to 143. The mean diameter of all strictures and the narrowest stricture in each patient increased significantly from 8.6 to 9.8 mm and from 7.6 to 8.7 mm, respectively. Thirty-two (67%) patients developed endoscopic restenosis. Multivariate analysis showed that the presence of ulcers at the follow-up session was a risk factor for restenosis (odds ratio 9.4, Conclusions: Maintenance of complete mucosal healing is significantly associated with avoiding restenosis after EBD in CD-related small intestinal strictures.

Indexed as

calibrated small‐caliber‐tip transparent hoodCrohn's diseasedouble‐balloon enteroscopyendoscopic balloon dilationendoscopic restenosis

Identifiers

PMID37082738
PMCPMC10111114
OpenAlexW4366289311

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.