Evidence map›Paper›PMID 37174092›Full record

ReviewCancers2023

Performance and Safety of EUS Ablation Techniques for Pancreatic Cystic Lesions: A Systematic Review and Meta-Analysis.

Apostolis Papaefthymiou, Gavin J Johnson, Marcello Maida, Paraskevas Gkolfakis, Daryl Ramai, Antonio Facciorusso, Marianna Arvanitakis, Alexander Ney, Giuseppe K Fusai, Adrian Saftoiu and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.0field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Endoscopic management of pancreatic cystic neoplasms.World journal of gastrointestinal oncology · 2025
    Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Observational
  17. Review
  18. Review
  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

15 authors at 7 institutions in 6 countries.

Apostolis PapaefthymiouPancreaticobiliary Medicine Unit, University College London Hospitals (UCLH), London NW1 2BU, UK.ORCID 0000-0002-3563-4973
Gavin J JohnsonPancreaticobiliary Medicine Unit, University College London Hospitals (UCLH), London NW1 2BU, UK.
Marcello MaidaGastroenterology and Endoscopy Unit, S. Elia-Raimondi Hospital, 93100 Caltanissetta, Italy.ORCID 0000-0002-4992-9289
Paraskevas GkolfakisDepartment of Gastroenterology, General Hospital of Nea Ionia "Konstantopoulio-Patision", 14233 Athens, Greece.ORCID 0000-0002-9677-4013
Daryl RamaiGastroenterology and Hepatology, University of Utah Health, Salt Lake City, UT 84132, USA.
Antonio FacciorussoGastroenterology Unit, Department of Surgical and Medical Sciences, University of Foggia, 37920 Foggia, Italy.ORCID 0000-0002-2107-2156
Marianna ArvanitakisDepartment of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme University Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium.
Alexander NeyInstitute for Liver and Digestive Health, University College London, London NW3 2PF, UK.ORCID 0000-0003-4868-2832
Giuseppe K FusaiDepartment of HPB Surgery and Liver Transplantation, Royal Free Hospital, London NW3 2QG, UK.
Adrian SaftoiuResearch Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy "Carol Davila", 4192910 Bucharest, Romania.
Daniela TabaceliaResearch Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy "Carol Davila", 4192910 Bucharest, Romania.
Simon PhillpottsPancreaticobiliary Medicine Unit, University College London Hospitals (UCLH), London NW1 2BU, UK.
Michael H ChapmanPancreaticobiliary Medicine Unit, University College London Hospitals (UCLH), London NW1 2BU, UK.
George J WebsterPancreaticobiliary Medicine Unit, University College London Hospitals (UCLH), London NW1 2BU, UK.
Stephen P PereiraPancreaticobiliary Medicine Unit, University College London Hospitals (UCLH), London NW1 2BU, UK.ORCID 0000-0003-0821-1809
University College Hospital · GBCarol Davila University of Medicine and Pharmacy · ROUniversité Libre de Bruxelles · BEThe Royal Free Hospital · GBUniversity College London · GBUniversity of Foggia · ITUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic cystic lesions (PCL) represent an increasingly diagnosed condition with significant burden to patients' lives and medical resources. Endoscopic ultrasound (EUS) ablation techniques have been utilized to treat focal pancreatic lesions. This systematic review with meta-analysis aims to assess the efficacy of EUS ablation on PCL in terms of complete or partial response and safety.

methodsA systematic search in Medline, Cochrane and Scopus databases was performed in April 2023 for studies assessing the performance of the various EUS ablation techniques. The primary outcome was complete cyst resolution, defined as cyst disappearance in follow-up imaging. Secondary outcomes included partial resolution (reduction in PCL size), and adverse events rate. A subgroup analysis was planned to evaluate the impact of the available ablation techniques (ethanol, ethanol/paclitaxel, radiofrequency ablation (RFA), and lauromacrogol) on the results. Meta-analyses using a random effects model were conducted and the results were reported as percentages with 95% confidence intervals (95%CI).

resultsFifteen studies (840 patients) were eligible for analysis. Complete cyst resolution after EUS ablation was achieved in 44% of cases (95%CI: 31-57; 352/767; I

conclusionEUS ablation of pancreatic cysts provides acceptable rates of complete resolution and a low incidence of severe adverse events, with chemoablative agents yielding higher performance rates.

Indexed as

ablationethanolEUSlauromacrogolpaclitaxelpancreatic cystRFA

Identifiers

PMID37174092
PMCPMC10177078
OpenAlexW4372291673

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.