Evidence map›Paper›PMID 37773471›Full record

ArticleTechniques in coloproctology2023

Endoscopic intermuscular dissection (EID) for removing early rectal cancers and benign fibrotic rectal lesions.

G Tribonias, Y Komeda, N Leontidis, G Anagnostopoulos, M Palatianou, G Mpellou, P Pantoula, M-E Manola, G Paspatis, M Tzouvala and 1 more

Abstract read
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In one paragraph

Article in Techniques in coloproctology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 16 citations in OpenAlex.

  1. Endoscopic intermuscular dissection of a rectal gastrointestinal stromal tumor.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2026
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  4. Review
  5. Endoscopic intermuscular dissection for rectum-sparing resection of a refractory rectal lesion.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2026
    Article
  6. Article
  7. Article
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  11. Review
  12. Endoscopic approach to large non-pedunculated colorectal polyps.Journal of the Canadian Association of Gastroenterology · 2025
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. 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

11 authors at 3 institutions in 2 countries.

G TriboniasGastroenterology Department, General Hospital of Nikaia - Piraeus "Agios Panteleimon", Mantouvalou D.3, Nikaia, 18454, Athens, Greece. g.tribonias@gmail.com.ORCID 0000-0002-0702-190X
Y KomedaDepartment of Gastroenterology and Hepatology, Kindai University, Osaka, Japan.
N LeontidisGastroenterology Department, General Hospital of Nikaia - Piraeus "Agios Panteleimon", Mantouvalou D.3, Nikaia, 18454, Athens, Greece.
G AnagnostopoulosGastroenterology Department, General Hospital of Nikaia - Piraeus "Agios Panteleimon", Mantouvalou D.3, Nikaia, 18454, Athens, Greece.
M PalatianouGastroenterology Department, General Hospital of Nikaia - Piraeus "Agios Panteleimon", Mantouvalou D.3, Nikaia, 18454, Athens, Greece.
G MpellouGastroenterology Department, General Hospital of Nikaia - Piraeus "Agios Panteleimon", Mantouvalou D.3, Nikaia, 18454, Athens, Greece.
P PantoulaPathology Department, General Hospital of Nikaia - Piraeus "Agios Panteleimon", Nikaia, Athens, Greece.
M-E ManolaGastroenterology Department, General Hospital of Nikaia - Piraeus "Agios Panteleimon", Mantouvalou D.3, Nikaia, 18454, Athens, Greece.
G PaspatisGastroenterology Department, Venizeleio General Hospital, Heraklion, Crete, Greece.
M TzouvalaGastroenterology Department, General Hospital of Nikaia - Piraeus "Agios Panteleimon", Mantouvalou D.3, Nikaia, 18454, Athens, Greece.
H KashidaDepartment of Gastroenterology and Hepatology, Kindai University, Osaka, Japan.
General Hospital of Nikea · GRKindai University · JPThe General Hospital of Heraklion "Venizeleio-Pananio" · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the current era of screening colonoscopy and increasing incidence of early rectal cancer, interventional endoscopy moves toward resections in deeper planes than the submucosal layer. Several reports support the use of endoscopic intermuscular dissection (EID) instead of endoscopic submucosal dissection (ESD) for the removal of deeply invasive rectal submucosal cancers. The resection plane into the intermuscular space, the space between the longitudinal (external) and circular (internal) muscle layer, allows radical removal of rectal invasive submucosal cancers. Furthermore, the technique offers the potential for dissection of scarred and severe fibrotic lesions in the rectum by cutting deeper and performing a partial myectomy avoiding the narrow submucosal space. We present 23 cases of EIDs both for deeply invasive rectal cancers and benign rectal lesions. This is the first report in the literature of EID resections for malignant and benign disease, including cases of severely fibrotic rectal lesions.

Indexed as

Endoscopic Mucosal ResectionRectal NeoplasmsColonoscopyDissectionHumansPelvisRectumTreatment OutcomeCancerEndoscopic intermuscular dissectionEndoscopic submucosal dissectionEndoscopyPolypRectum

Identifiers

PMID37773471
OpenAlexW4387208757

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.