Evidence map›Paper›PMID 37197254›Full record

ArticleTranslational gastroenterology and hepatology2023

Clinical outcomes: endoscopic resection of duodenal ampullary lesions.

Stephanie M Woo, Mark J Real, Brett M Will, Eric J Kim, Jiling Chou, Ahmed A Alsaiari, Ahmad Nakshabandi, Walid M Chalhoub, Nadim G Haddad

Open access · diamondAbstract read
In one paragraph

Article in Translational gastroenterology and hepatology, 2023. 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
1.4field-weighted citation impact, top 17% 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, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

9 authors at 3 institutions in 2 countries.

Stephanie M WooDepartment of Gastroenterology, MedStar Georgetown University Hospital, Washington, DC, USA.
Mark J RealDepartment of Gastroenterology, MedStar Georgetown University Hospital, Washington, DC, USA.
Brett M WillDepartment of Internal Medicine, MedStar Georgetown University Hospital, Washington, DC, USA.
Eric J KimGeorgetown University School of Medicine, Washington, DC, USA.
Jiling ChouMedStar Health Research Institute, Hyattsville, MD, USA.
Ahmed A AlsaiariDepartment of Gastroenterology, MedStar Georgetown University Hospital, Washington, DC, USA.
Ahmad NakshabandiDepartment of Gastroenterology, MedStar Georgetown University Hospital, Washington, DC, USA.
Walid M ChalhoubDepartment of Gastroenterology, MedStar Georgetown University Hospital, Washington, DC, USA.
Nadim G HaddadDepartment of Gastroenterology, MedStar Georgetown University Hospital, Washington, DC, USA.
Georgetown University · USMedStar Georgetown University Hospital · USMedStar Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ampullary adenomas are lesions at the duodenum's major papilla commonly associated with familial adenomatous polyposis (FAP) but may also occur sporadically. Historically, ampullary adenomas were removed surgically, however endoscopic resection has become the preferred method of resection. Most of the literature on management of ampullary adenomas are small single-center retrospective reviews. The objective of this study is to describe endoscopic papillectomy outcomes to further refine management guidelines. Methods: This is a retrospective study of patients who underwent endoscopic papillectomy. Demographic data were included. Details regarding lesions and procedures were also collected, including endoscopic impression, size, resection method and adjunctive therapies. Chi-square, Kruskal-Wallis rank-sum, and Results: A total of 90 patients were included. 60% patients (54 of 90) had pathology-proven adenomas. 14.4% of all lesions (13 of 90) and 18.5% of adenomas (10 of 54) were treated with APC. Among APC-treated lesions, 36.4% developed recurrence (4 of 11) Conclusions: Endoscopic papillectomy is an effective method for managing duodenal adenomas. Pathology-proven adenoma should undergo surveillance for at least 31 months. Lesions treated with APC may require closer follow-up and for a prolonged period.

Indexed as

ampullectomyampullomaDuodenal adenomapapillectomy

Identifiers

PMID37197254
PMCPMC10184035
OpenAlexW4321484525

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.