Evidence map›Paper›PMID 37682332›Full record

Trial reportSurgical endoscopy2023

Continuous suture technique increases the complete closure rate of colorectal mucosal defects after endoscopic resection: a single-blind, randomized controlled trial.

Jindong Chu, Min Min, Wei Shen, Qian Bi, Xueting Zhang, Hanqing Zhang, Aitong Li, Xiaobao Qi, Huijun Zhang, Bin Han and 3 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. 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

13 authors at 1 institution in 1 country.

Jindong Chu *Department of Hepatology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Min Min *Department of Gastroenterology, the First Medical Center of Chinese PLA General Hospital, Beijing, 100071, China.
Wei ShenDepartment of Gastroenterology, the First Medical Center of Chinese PLA General Hospital, Beijing, 100071, China.
Qian BiDepartment of Hepatology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Xueting ZhangDepartment of Gastroenterology, the First Medical Center of Chinese PLA General Hospital, Beijing, 100071, China.
Hanqing ZhangDepartment of Gastroenterology, the First Medical Center of Chinese PLA General Hospital, Beijing, 100071, China.
Aitong LiDepartment of Gastroenterology, the First Medical Center of Chinese PLA General Hospital, Beijing, 100071, China.
Xiaobao QiDepartment of Hepatology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Huijun ZhangDepartment of Hepatology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Bin HanDepartment of Hepatology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Tingting LiuDepartment of Hepatology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Yan LiuDepartment of Gastroenterology, the First Medical Center of Chinese PLA General Hospital, Beijing, 100071, China. 13911798288@163.com.
Zheng LuDepartment of Hepatology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China. luzheng80@163.com.ORCID 0000-0003-2925-2570
Chinese PLA General Hospital · CN

Funding

National Natural Science Foundation of China 82170677National Outstanding Youth Science Fund Project of National Natural Science Foundation of China 2019-JQPY-001Natural Science Foundation of Beijing Municipality 7192201
6 · The paper itself

Abstract

backgroundComplete closure of mucosal defects after colorectal endoscopic submucosal dissection (ESD)/piecemeal endoscopic mucosal resection (p-EMR) procedures reduces postoperative adverse events, but the complete closure rate of the traditional method using only hemostatic clips is not satisfactory. Therefore, we invented a continuous suture technique using a barbed suture and clips to increase the complete closure rate of colorectal mucosal defects.

methodsPatients with a single large (≥ 2 cm) colorectal lesion were recruited. After completion of the ESD/p-EMR procedures, they were randomly allocated to the treatment group or control group. The mucosal defects of the treatment group were closed using barbed suture and clips, while the control group was closed using only clips.

resultsFrom January 18, 2022 to April 13, 2022, a total of 62 patients with colorectal lesions were enrolled, with 31 patients in each group. Complete closure was achieved in 29 patients (93.5%) in the treatment group and 18 patients (58.1%) in the control group (P = 0.001). The median closure time was 13 min in the treatment group and 19 min in the control group (P < 0.001). The median closure speed was 6.4 cm

conclusionsThis study provided a clinically feasible continuous suture technique that was safe and effective for the complete closure of colorectal mucosal defects after endoscopic resection.

Indexed as

Colorectal NeoplasmsEndoscopic Mucosal ResectionHumansIntestinal MucosaSingle-Blind MethodSuture TechniquesTreatment OutcomeColonic polypsEndoscopic mucosal resectionEndoscopic submucosal dissectionSurgical instrumentsSuture techniques

Identifiers

PMID37682332
OpenAlexW4386530220

What OpenQuestion holds

Textmetadata
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.