Evidence map›Paper›PMID 37927952›Full record

ArticleDEN open2024

Can underwater endoscopic mucosal resection be an alternative to conventional endoscopic mucosal resection for superficial non-ampullary duodenal epithelial tumors?

Hidenori Tanaka, Yuji Urabe, Hiroki Takemoto, Kazuki Ishibashi, Hirona Konishi, Yuka Matsubara, Yudai Takehara, Shin Morimoto, Fumiaki Tanino, Noriko Yamamoto and 10 more

Open access · goldAbstract read
In one paragraph

Article in DEN open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Underwater Endoscopic Resection for the Rare Periampullary Tumor.The Korean journal of helicobacter and upper gastrointestinal research · 2026
    Article
  3. Review
  4. 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

20 authors at 1 institution in 1 country.

Hidenori TanakaDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.ORCID https://orcid.org/0000-0002-3646-5796
Yuji UrabeDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Hiroki TakemotoDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Kazuki IshibashiDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Hirona KonishiDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Yuka MatsubaraDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Yudai TakeharaDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Shin MorimotoDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Fumiaki TaninoDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Noriko YamamotoDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Hajime TeshimaDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Junichi MizunoDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Issei HirataDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Hirosato TamariDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Akiyoshi TsuboiDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Ken YamashitaDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Takahiro KotachiDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Hidehiko TakigawaDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Ryo YugeDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Shiro OkaDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.ORCID https://orcid.org/0000-0002-1652-0743
Hiroshima University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Underwater endoscopic mucosal resection (UEMR) is a simpler procedure for superficial non-ampullary duodenal epithelial tumors (SNADET) than conventional endoscopic mucosal resection (cEMR). This study aimed to evaluate whether cEMR can be substituted by UEMR for SNADET in terms of effectiveness, safety, and learning curve. Methods: A total of 157 consecutive patients with 203 SNADETs ≤20 mm in diameter, including 107 lesions resected by cEMR and 96 lesions resected by UEMR, between January 2019 and May 2023, were retrospectively recruited. The treatment outcomes were compared between the cEMR and UEMR groups. The risk factors for incomplete resection by UEMR were analyzed using univariate and multivariate analyses. Lesions in the UEMR group were divided chronologically into five periods; thereafter, the en bloc resection rate and procedure time were compared. Results: No significant differences existed between the cEMR and UEMR groups in the mean procedure time (3.9 min vs. 3.6 min, Conclusion: UEMR is safe and effective for SNADET ≤20 mm, regardless of a history of biopsy, and is easy to learn. Thus, UEMR can serve as an alternative to cEMR.

Indexed as

duodenal neoplasmendoscopic mucosal resectionlearning curvesuperficial non‐ampullary duodenal epithelial tumorunderwater endoscopic mucosal resection

Identifiers

PMID37927952
PMCPMC10624252
OpenAlexW4388304972

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.