Evidence map›Paper›PMID 38533237›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2024

Hot avulsion

Chloe Attree, Ravinder Ogra, Ian F Yusoff, Alan C Moss, Angela Jacques, Gregor Brown, Sina Alexander, Marios Efthymiou, Spiro Raftopoulos

Open access · goldAbstract read
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 93% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 7 institutions in 2 countries.

Chloe AttreeGastroenterology Sir Charles Gairdner Hospital Nedlands Western Australia Australia.ORCID https://orcid.org/0000-0002-4678-5056
Ravinder OgraGastroenterology Middlemore Hospital Auckland New Zealand.
Ian F YusoffGastroenterology Sir Charles Gairdner Hospital Nedlands Western Australia Australia.
Alan C MossGastroenterology Western Health Melbourne Victoria Australia.
Angela JacquesGastroenterology Sir Charles Gairdner Hospital Nedlands Western Australia Australia.
Gregor BrownGastroenterology Alfred Hospital Richmond Victoria Australia.
Sina AlexanderGastroenterology St John of God Hospital Geelong Victoria Australia.
Marios EfthymiouGastroenterology Austin Health Heidelberg Victoria Australia.
Spiro RaftopoulosGastroenterology Sir Charles Gairdner Hospital Nedlands Western Australia Australia.
Sir Charles Gairdner Hospital · AUThe University of Western Australia · AUMiddlemore Hospital · NZSt John of God Geelong Hospital · AUThe Alfred Hospital · AUThe University of Melbourne · AUWestern Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aim: Snare resection of nonlifting colonic lesions often requires supplemental techniques. We compared the success rates of neoplasia eradication using hot avulsion and argon plasma coagulation in colonic polyps when complete snare polypectomy had failed. Methods: Polyps that were not completely resectable by snare polypectomy were randomized to argon plasma coagulation or hot avulsion for completion of resection. Argon plasma coagulation was delivered using a forward shooting catheter, using a nontouch technique (flow 1.2 L, 35 watts). Hot avulsion was performed by grasping the neoplastic tissue with hot biopsy forceps and applying traction away from the bowel wall while using EndoCut I or soft coagulation for avulsion. Surveillance colonoscopies were performed at 6, 12, and 18 months. Results: From November 2013 to July 2017, 59 patients were randomized to argon plasma coagulation (28) or hot avulsion (31). The median age was 69 (60-75), with 46% being female. The median residual tissue size was 10 mm (6-12). The residual adenoma rate at 6 months (hot avulsion 6% Conclusion: Both hot avulsion and argon plasma coagulation are effective and safe modalities to complete resection of non-ensnarable colonic polyps.

Indexed as

argon plasma coagulationhot avulsionpolypectomy

Identifiers

PMID38533237
PMCPMC10964916
OpenAlexW4393203857

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.