Evidence map›Paper›PMID 37365665›Full record

Trial reportTrials2023

Endoscopic treatment (endoscopic balloon dilation/self-expandable metal stent) vs surgical resection for the treatment of de novo stenosis in Crohn's disease (ENDOCIR study): an open-label, multicentre, randomized trial.

Carme Loras, Pablo Ruiz-Ramirez, Juan Romero, Xavier Andújar, Josep Bargallo, Esther Bernardos, Marta Maia Boscá-Watts, Carlo Brugiotti, Eduard Brunet, David Busquets and 38 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04330846 (Prospective Multicenter Randomized Comparative Study of the Treatment of de Novo Stenosis in Crohn's Disease. Endoscopic Treatment), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.2field-weighted citation impact, top 11% 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.

NCT04330846 narecruitingnot on this map

Prospective Multicenter Randomized Comparative Study of the Treatment of de Novo Stenosis in Crohn's Disease. Endoscopic Treatment (Self-expanding Metal Prosthesis/Ballon Dilation) vc Surgical Resection (ENDOCIR STUDY)

TypeinterventionalSponsorGrupo Espanol de Trabajo en Enfermedad de Crohn y Colitis UlcerosaRan2022 to 2027Enrolled40ConditionsCrohn DiseaseArmsSurgical resection
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Surgery-induced and Associated Long-term Strictures.Clinics in colon and rectal surgery · 2026
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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

48 authors at 18 institutions in 1 country.

Carme LorasEndoscopy Unit, Department of Digestive Diseases, Hospital Universitari Mútua Terrassa, Plaça Dr Robert n° 5, Terrassa, Barcelona, 08221, Spain. cloras@mutuaterrassa.cat.
Pablo Ruiz-RamirezEndoscopy Unit, Department of Digestive Diseases, Hospital Universitari Mútua Terrassa, Plaça Dr Robert n° 5, Terrassa, Barcelona, 08221, Spain.
Juan RomeroEndoscopy Unit, Department of Digestive Diseases, Hospital Universitari Mútua Terrassa, Plaça Dr Robert n° 5, Terrassa, Barcelona, 08221, Spain.
Xavier AndújarEndoscopy Unit, Department of Digestive Diseases, Hospital Universitari Mútua Terrassa, Plaça Dr Robert n° 5, Terrassa, Barcelona, 08221, Spain.
Josep BargalloConsorci Sanitari de Terrassa, Terrassa, Spain.
Esther BernardosHospital General La Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain.
Marta Maia Boscá-WattsHospital Clínico Universitario de Valencia, Valencia, Spain.
Carlo BrugiottiHospital Comarcal d'Inca, Inca, Mallorca, Spain.
Eduard BrunetCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain.
David BusquetsHospital Universitari de Girona Dr. Josep Trueta, Girona, Spain.
Elena CerrilloHospital Universitari i Politècnic la Fe, Valencia, Spain.
Francisco Javier CortinaHospital General La Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain.
Juan Antonio Díaz-MilanésHospital Universitario de Cáceres, Cáceres, Spain.
Carmen DueñasHospital Universitario de Cáceres, Cáceres, Spain.
Ramón FarrésClínica de Girona, Girona, Spain.
Thomas GoldaHospital Universitari de Bellvitge, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Spain.
Ferran González-HuixClínica de Girona, Girona, Spain.
Joan B GornalsHospital Universitari de Bellvitge, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Spain.
Jordi GuardiolaHospital Universitari de Bellvitge, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Spain.
David JuliàHospital Universitari de Girona Dr. Josep Trueta, Girona, Spain.
Alba LiraCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain.
Jordina LlaóAlthaia, Xarxa Assistencial Universitaria de Manresa, Manresa, Spain.
Miriam MañosaCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain.
Ingrid MarinHospital Universitari Germans Trias i Pujol, Badalona, Spain.
Mónica MillánHospital Universitari i Politècnic la Fe, Valencia, Spain.
David MonfortConsorci Sanitari de Terrassa, Terrassa, Spain.
David MoroHospital Clínico Universitario de Valencia, Valencia, Spain.
Josep MulleratHospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Spain.
Mercè NavarroHospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Spain.
Francisco Pérez RoldánHospital General La Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain.
Eva PijoanClínica de Girona, Girona, Spain.
Vicente PonsHospital Universitari i Politècnic la Fe, Valencia, Spain.
José ReyesHospital Comarcal d'Inca, Inca, Mallorca, Spain.
María RufasHospital Universitari Arnau de Vilanova, Lleida, Spain.
Empar SainzAlthaia, Xarxa Assistencial Universitaria de Manresa, Manresa, Spain.
Vicente SanchizHospital Clínico Universitario de Valencia, Valencia, Spain.
Anna SerracantCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain.
Eva SeseHospital Universitari Arnau de Vilanova, Lleida, Spain.
Cristina SotoAlthaia, Xarxa Assistencial Universitaria de Manresa, Manresa, Spain.
Jose TroyaHospital Universitari Germans Trias i Pujol, Badalona, Spain.
Natividad ZaragozaHospital Universitari Arnau de Vilanova, Lleida, Spain.
Cristian TebéUnitat de Bioestadística, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Spain.
Marta ParairaEndoscopy Unit, Department of Digestive Diseases, Hospital Universitari Mútua Terrassa, Plaça Dr Robert n° 5, Terrassa, Barcelona, 08221, Spain.
Emma Sudrià-LopezEndoscopy Unit, Department of Digestive Diseases, Hospital Universitari Mútua Terrassa, Plaça Dr Robert n° 5, Terrassa, Barcelona, 08221, Spain.
Vicenç MayorEndoscopy Unit, Department of Digestive Diseases, Hospital Universitari Mútua Terrassa, Plaça Dr Robert n° 5, Terrassa, Barcelona, 08221, Spain.
Fernando Fernández-BañaresEndoscopy Unit, Department of Digestive Diseases, Hospital Universitari Mútua Terrassa, Plaça Dr Robert n° 5, Terrassa, Barcelona, 08221, Spain.
Maria EsteveEndoscopy Unit, Department of Digestive Diseases, Hospital Universitari Mútua Terrassa, Plaça Dr Robert n° 5, Terrassa, Barcelona, 08221, Spain.
Grupo Español de Trabajo de la Enfermedad de Crohn y Colitis Ulcerosa GETECCU
Mútua Terrassa · ESCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESAlthaia · ESClínica Girona · ESHospital Clínico Universitario de Valencia · ESHospital San Juan de la Cruz · ESHospital Universitari Arnau de Vilanova · ESHospital Universitari i Politècnic La Fe · ESInstitut d'Investigació Biomédica de Bellvitge · ESComplejo Hospitalario de Cáceres · ESConsorci Sanitari de Terrassa · ESCorporació Sanitària Parc Taulí · ESHospital de Sant Joan Despí Moisès Broggi · ESHospital Universitari de Girona Doctor Josep Trueta · ESHospital Universitari Germans Trias i Pujol · ESBellvitge University Hospital · ESHealth Research Institute of the Balearic Islands · ESHospital Comarcal de Inca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStenosis is one of the most common complications in patients with Crohn's disease (CD). Endoscopic balloon dilation (EBD) is the treatment of choice for a short stenosis adjacent to the anastomosis from previous surgery. Self-expandable metal stents (SEMS) may be a suitable treatment option for longer stenoses. To date, however, there is no scientific evidence as to whether endoscopic (EBD/SEMS) or surgical treatment is the best approach for de novo or primary stenoses that are less than 10 cm in length. METHODS/

designExploratory study as "proof-of-concept", multicentre, open-label, randomized trial of the treatment of de novo stenosis in the CD; endoscopic treatment (EBD/SEMS) vs surgical resection (SR). The type of endoscopic treatment will initially be with EDB; if a therapeutic failure occurs, then a SEMS will be placed. We estimate 2 years of recruitment and 1 year of follow-up for the assessment of quality of life, costs, complications, and clinical recurrence. After the end of the study, patients will be followed up for 3 years to re-evaluate the variables over the long term. Forty patients with de novo stenosis in CD will be recruited from 15 hospitals in Spain and will be randomly assigned to the endoscopic or surgical treatment groups. The primary aim will be the evaluation of the patient quality of life at 1 year follow-up (% of patients with an increase of 30 points in the 32-item Inflammatory Bowel Disease Questionnaire (IBDQ-32). The secondary aim will be evaluation of the clinical recurrence rate, complications, and costs of both treatments at 1-year follow-up. DISCUSSION: The ENDOCIR trial has been designed to determine whether an endoscopic or surgical approach is therapeutically superior in the treatment of de novo stenosis in CD.

trial registrationClinicalTrials.gov NCT04330846. Registered on 1 April 1 2020. https://clinicaltrials.gov/ct2/home.

Indexed as

Crohn DiseaseConstriction, PathologicDilatationHumansQuality of LifeStentsTreatment OutcomeBalloon dilationCrohn’s diseaseDe novo or primary stenosisEndoscopic treatmentProof-of-concept studyRandomized clinical trialSelf-expandable metal stentSurgical resection

Identifiers

PMID37365665
PMCPMC10294410
OpenAlexW4382182763

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Registered trials

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.