Evidence map›Paper›PMID 38098493›Full record

ArticleInflammatory intestinal diseases2023

Detection Rates of Non-Cavitary Epithelioid Cell Granuloma by Gastrointestinal Biopsy in Patients with Treatment-Naïve Crohn's Disease.

Katsuya Endo, Yoko Kawakami, Yuki Yoshino, Shiho Kondo, Daisuke Fukushi, Atsuko Takasu, Takayuki Kogure, Morihisa Hirota, Kazuhiro Murakami, Kennichi Satoh

Abstract read
In one paragraph

Article in Inflammatory intestinal diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Epiglottic Ulceration as an Initial Manifestation of Crohn's Disease.Journal of general and family medicine · 2026
    Article
  2. 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

10 authors.

Katsuya EndoDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Yoko KawakamiDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Yuki YoshinoDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Shiho KondoDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Daisuke FukushiDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Atsuko TakasuDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Takayuki KogureDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Morihisa HirotaDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Kazuhiro MurakamiDivision of Pathology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Kennichi SatohDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Detecting non-cavitary epithelioid cell granuloma by gastrointestinal biopsy is important in the initial diagnosis of Crohn's disease (CD). In the present study, we aimed to determine the rate of granuloma detection by gastrointestinal biopsy according to the number of biopsies performed. Methods: The present study included patients newly diagnosed with CD at our hospital between April 2017 and March 2023. During endoscopic examinations, biopsy specimens were taken from affected lesions. Initially, one section per biopsy was examined to detect granuloma. In cases where no granulomas were detected, step sections were additionally prepared and examined. The rate of granuloma detection by gastrointestinal biopsy was retrospectively examined. Results: A total of 30 patients with a new diagnosis of CD were included in this study. In total, 284 gastrointestinal biopsies were performed in 29 cases. The rate of granuloma detection by gastrointestinal biopsy per case was 58.6% (17 out of 29 cases). The rate of granuloma detection by gastrointestinal biopsy per biopsy was 6.0% (17 out of 284 biopsies) on initial histological examination and 11.6% (33 out of 284 biopsies) following examination of step sections. The rate of granuloma detection was significantly improved by performing histological examination of step sections compared with initial examinations ( Conclusion: The rate of granuloma detection per biopsy was 11.6%, even after histological examination of step sections. These results indicate that performing multiple intestinal biopsies and assessing for the presence of granuloma using multiple section examinations are required in the initial diagnosis of CD.

Indexed as

Crohn’s diseaseEsophagogastroduodenoscopyGastrointestinal biopsyIleocolonoscopyNon-cavitary epithelioid cell granuloma

Identifiers

PMID38098493
PMCPMC10718578

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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.