Evidence map›Paper›PMID 38162840›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2023

Medical radiation exposure during gastrointestinal enteral metallic stent placement: Post hoc analysis of the REX-GI study.

Junki Tokura, Toshiyuki Yoshio, Shiro Hayashi, Masashi Yamamoto, Satoshi Asai, Takayuki Yakushijin, Kenji Ikezawa, Koji Nagaike, Tadayuki Takagi, Toshio Fujisawa and 17 more

Open access · goldAbstract read
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

27 authors at 20 institutions in 1 country.

Junki TokuraDepartment of Gastroenterology Cancer Institute Hospital, Japanese Foundation for Cancer Research Tokyo Japan.
Toshiyuki YoshioDepartment of Gastroenterology Cancer Institute Hospital, Japanese Foundation for Cancer Research Tokyo Japan.ORCID https://orcid.org/0000-0002-6546-0329
Shiro HayashiDepartment of Gastroenterology and Internal Medicine Hayashi Clinic Suita Japan.
Masashi YamamotoDepartment of Gastroenterology Toyonaka Municipal Hospital Toyonaka Japan.
Satoshi AsaiDepartment of Gastroenterology Tane General Hospital Osaka Japan.
Takayuki YakushijinDepartment of Gastroenterology and Hepatology Osaka General Medical Center Osaka Japan.
Kenji IkezawaDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.ORCID https://orcid.org/0000-0001-7517-8960
Koji NagaikeDepartment of Gastroenterology and Hepatology Suita Municipal Hospital Osaka Japan.
Tadayuki TakagiDepartment of Gastroenterology, Fukushima Medical University School of Medicine Fukushima Japan.
Toshio FujisawaDepartment of Gastroenterology Graduate School of Medicine, Juntendo University Tokyo Japan.
Takuya YamadaDepartment of Gastroenterology and Hepatology Osaka Rosai Hospital Sakai Japan.
Hidetaka TsumuraDepartment of Gastroenterological Oncology Hyogo Cancer Center Akashi Japan.
Iruru MaetaniDivision of Gastroenterology and Hepatology, Department of Internal Medicine Toho University Ohashi Medical Center Tokyo Japan.ORCID https://orcid.org/0000-0002-9072-3805
Yasuki HoriDepartment of Gastroenterology and Metabolism Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Hideyuki IharaDepartment of Gastroenterology Tonan Hospital Sapporo Japan.
Kazuhiro MatsunagaDepartment of Gastroenterology Ishikawa Prefectural Central Hospital Kanazawa Japan.
Toshio KuwaiDepartment of Gastroenterology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center Kure Japan.
Yukiko ItoDepartment of Gastroenterology Japanese Red Cross Medical Center Tokyo Japan.
Kenkei HasataniDepartment of Gastroenterology Fukui Prefectural Hospital Fukui Japan.
Yoriaki KomedaDepartment of Gastroenterology and Hepatology, Faculty of Medicine Kindai University Ōsakasayama Japan.ORCID https://orcid.org/0000-0002-0068-8461
Akira KuritaDepartment of Gastroenterology and Hepatology Digestive Disease Center, Kitano Hospital, Tazuke Kofukai Medical Research Institute Osaka Japan.ORCID https://orcid.org/0000-0003-3047-7662
Shinjiro YamaguchiDepartment of Gastroenterology and Hepatology Kansai Rosai Hospital Amagasaki Japan.
Hirotsugu MaruyamaDepartment of Gastroenterology Osaka City University Graduate School of Medicine Osaka Japan.
Takuji IwashitaFirst Department of Internal Medicine Gifu University Hospital Gifu Japan.ORCID https://orcid.org/0000-0003-4978-1787
Mamoru TakenakaDepartment of Gastroenterology and Hepatology, Faculty of Medicine Kindai University Ōsakasayama Japan.
Makoto HosonoDepartment of Gastroenterology and Hepatology, Faculty of Medicine Kindai University Ōsakasayama Japan.
Tsutomu NishidaDepartment of Gastroenterology Toyonaka Municipal Hospital Toyonaka Japan.ORCID https://orcid.org/0000-0003-4037-9003
Kindai University · JPToyonaka Municipal Hospital · JPJapanese Foundation For Cancer Research · JPFukui Prefectural Hospital · JPFukushima Medical University · JPGifu University Hospital · JPHyogo Prefectural Cancer Center · JPIshikawa Prefectural Central Hospital · JPJapanese Red Cross Medical Center · JPJuntendo University · JPKansai Rosai Hospital · JPKitano Hospital · JPNagoya City University · JPNational Hospital Organization · JPOsaka City University · JPOsaka International Cancer Institute · JPOsaka Prefectural Medical Center · JPOsaka Rosai Hospital · JPSuita Municipal Hospital · JPTane General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aim: Recently, the use of various endoscopic procedures performed under X-ray fluoroscopy guidance has increased. With the popularization of such procedures, diagnostic reference levels (DRLs) have been widely accepted as the global standard for various procedures with ionizing radiation. The Radiation Exposure from Gastrointestinal Fluoroscopic Procedures (REX-GI) study aimed to prospectively collect actual radiation exposure (RE) data and establish DRLs in gastrointestinal endoscopy units. In this post hoc analysis of the REX-GI study, we established DRLs for each disease site by analyzing cases of gastrointestinal enteral metallic stent placement. Methods: The REX-GI study was a multicenter, prospective observational study conducted to collect actual RE data during gastrointestinal enteral metallic stent placement. To establish DRL values for three disease sites, namely the esophagus, gastroduodenum, and colon, we examined fluoroscopy time (FT; min), number of X-ray images, air kerma at the patient entrance reference point ( Results: Five-hundred and twenty-three stenting procedures were performed. The DRL values of FT (min) and the number of X-ray images for the esophagus/gastroduodenum/colon were 9/16/18 min and 9/15/11 min, respectively. Furthermore, the DRL values of Conclusion: The characteristics of RE vary according to disease site among gastrointestinal enteral metallic stent placements. Thus, it is desirable to set DRL values based on the disease site.

Indexed as

diagnostic reference levelenteral metallic stent placementfluoroscopygastrointestinal stenosisradiation exposure

Identifiers

PMID38162840
PMCPMC10757487
OpenAlexW4389225444

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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.