Evidence map›Paper›PMID 37967542›Full record

ArticleDigestive diseases (Basel, Switzerland)2024

Feasibility and Safety of Endoscopic Control for Patients with Serrated Polyposis Syndrome.

Michiko Nakaoka, Hideyuki Chiba, Mikio Kobayashi, Naoya Okada, Jun Arimoto, Jun Tachikawa, Keiichi Ashikari, Hiroki Kuwabara

Open access · hybridAbstract read
In one paragraph

Article in Digestive diseases (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 58% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Michiko NakaokaDepartment of Gastroenterology, Omori Red Cross Hospital, Tokyo, Japan, michiko_cinnamon@ybb.ne.jp.
Hideyuki ChibaDepartment of Gastroenterology, Omori Red Cross Hospital, Tokyo, Japan.
Mikio KobayashiDepartment of Gastroenterology, Omori Red Cross Hospital, Tokyo, Japan.
Naoya OkadaDepartment of Gastroenterology, Omori Red Cross Hospital, Tokyo, Japan.
Jun ArimotoDepartment of Gastroenterology, Omori Red Cross Hospital, Tokyo, Japan.
Jun TachikawaDepartment of Gastroenterology, Hiratsuka City Hospital, Hiratsuka, Japan.
Keiichi AshikariAshikari Medical Clinic, Tokyo, Japan.
Hiroki KuwabaraDepartment of Gastroenterology, Omori Red Cross Hospital, Tokyo, Japan.
Hiratsuka City Hospital · JPYokohama Rosai Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite advances in endoscopic treatment, patients with serrated polyposis syndrome (SPS) occasionally require surgery due to numerous or unresectable polyps, recurrence, and treatment-related adverse events.

methodsWe retrospectively evaluated 43 patients with SPS undergoing diagnosis and treatment at Omori Red Cross Hospital from 2011 to 2022. Resection of all polyps ≥3 mm in size was planned during the clearing phase; endoscopic control was defined as complete, endoscopic polyp removal. During the surveillance phase, patients underwent annual colonoscopy and resection of newly detected polyps ≥3 mm in size.

resultsThirty-eight patients (88%) achieved endoscopic control, two (5%) required surgery after endoscopic treatment because of colorectal cancer (CRC), and three (7%) have not yet achieved endoscopic control and are planning treatment. Endoscopic control was achieved with a median of four colonoscopies at 8 months. Ten polyps (median value) were resected per patient during the clearing phase. Three polyps ≥50 mm in size, six located in the appendiceal orifice, and seven with severe fibrosis could be resected by endoscopic submucosal dissection (ESD). All patients underwent treatment with a combination of cold snare polypectomy (CSP), endoscopic mucosal resection/hot polypectomy, and/or ESD. No case required surgery due to difficulty with endoscopic treatment. Delayed bleeding was observed in 2 cases (0.3%). Twenty-one patients underwent colonoscopies during the surveillance phase. Fifty-three polyps were resected using CSP; no CRC, sessile serrated lesions with dysplasia, or advanced adenoma were detected.

conclusionSPS can be effectively, efficiently, and safely controlled with appropriate endoscopic management.

Indexed as

Adenomatous Polyposis ColiColonic PolypsColorectal NeoplasmsColonoscopyFeasibility StudiesHumansRetrospective StudiesColorectal neoplasmsEndoscopic mucosal resectionEndoscopic treatmentSerrated polyposis syndrome

Identifiers

PMID37967542
PMCPMC10836738
OpenAlexW4388725005

What OpenQuestion holds

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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.