Evidence map›Paper›PMID 38929942›Full record

ArticleJournal of clinical medicine2024

Residual Recurrence of a Small Intestinal Capillary Hemangioma with Obscure Gastrointestinal Bleeding Treated by Double-Balloon Endoscopy: A Case Report and Literature Review.

Kei Nomura, Tomoyoshi Shibuya, Arisa Yuzawa, Masashi Omori, Rina Odakura, Masao Koma, Kentaro Ito, Eiji Kamba, Takafumi Maruyama, Osamu Nomura and 6 more

Abstract readCase Reports
In one paragraph

Article in Journal of clinical medicine, 2024. 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. Review
  2. Article
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

16 authors.

Kei NomuraDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.ORCID 0000-0002-2593-1472
Tomoyoshi ShibuyaDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.ORCID 0000-0003-3558-7123
Arisa YuzawaDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.
Masashi OmoriDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.
Rina OdakuraDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.
Masao KomaDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.
Kentaro ItoDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.
Eiji KambaDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.
Takafumi MaruyamaDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.
Osamu NomuraDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.
Hirofumi FukushimaDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.
Takashi MurakamiDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.ORCID 0000-0001-7419-589X
Kumiko UedaDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.ORCID 0000-0003-4976-7336
Dai IshikawaDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.ORCID 0000-0002-1130-2210
Mariko HojoDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.ORCID 0000-0001-9671-5585
Akihito NagaharaDepartment of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan.ORCID 0000-0001-5979-4384

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An 86-year-old man presented with anemia. He underwent abdominal contrast-enhanced computed tomography, gastroscopy, and colonoscopy without any bleeding detected. Small bowel capsule endoscopy (SBCE) revealed a reddish polypoid lesion with blood oozing into the jejunum. Antegrade double-balloon endoscopy (DBE) revealed a 5 mm sized protrusion into the jejunum. Endoscopic mucosal resection (EMR) was difficult; the lesion was snared and resected before energization. Clips prevented further bleeding and the lesion's position was marked with a tattoo. Histopathological examination of the lesion led to a diagnosis of capillary hemangioma. After 11 months, the patient was again anemic. A reddish polypoid lesion oozing blood near the tattoo was found by SBCE. Another antegrade DBE showed a 7 mm sized protrusion near the tattoo. The lesion was successfully treated by EMR. Histopathological examination revealed the residual recurrence of a small intestinal capillary hemangioma. The patient recovered from anemia after the EMR. Two months later, SBCE showed no findings around the tattoo. Hemangiomas account for 7-10% of benign small intestinal tumors; most are cavernous hemangiomas, and capillary hemangiomas are rare. We report a rare case of a recurring small intestinal capillary hemangioma detected by SBCE and treated using DBE. We also review the literature.

Indexed as

double-balloon endoscopyresidual recurrencesmall bowel capsule endoscopysmall intestinal capillary hemangioma

Identifiers

PMID38929942
PMCPMC11204303

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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.