Evidence map›Paper›PMID 39134559›Full record

ArticleScientific reports2024

Outcome and predictive factors for perforation in orthodontic rubber band-assisted endoscopic submucosal dissection of fibrotic colorectal lesions.

Linfu Zheng, Binbin Xu, Fuqiang Wang, Longping Chen, Baoxiang Luo, Zhilin Liu, Xingjie Gao, Linxin Zhou, Rong Wang, Chuanshen Jiang and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 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
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.

  1. 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

12 authors.

Linfu Zheng *Department of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Binbin Xu *Department of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Fuqiang Wang *Department of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Longping ChenDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Baoxiang LuoDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Zhilin LiuDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Xingjie GaoDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Linxin ZhouDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Rong WangDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Chuanshen JiangDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Dazhou LiDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China. LDZ7302999@sina.com.
Wen WangDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China. wangwenfj@163.com.

Funding

Key Subject Funds of Joint Logistics Support Force LQZD-XHthe Foreign Cooperation Project of the Department of Science and Technology of Fujian Province 2022I0033the Fujian Science and Technology Guiding Fund Project 2023Y0070
6 · The paper itself

Abstract

Endoscopic submucosal dissection (ESD) of fibrotic colorectal lesions is difficult and has a high complication rate. There are only a few reports on the utility of orthodontic rubber band (ORB) traction in reducing the difficulty of this procedure. This study aimed to investigate the risk factors for perforation when applying ORB traction during ESD of fibrotic colorectal lesions. We continuously collected the clinical data of 119 patients with fibrotic colorectal lesions who underwent ESD with ORB and clip traction between January 2019 and January 2024. Possible risk factors for perforation were analyzed. The median ORB-ESD operative time was 40 (IQR 28-62) min, and the en bloc and R0 resection rates were 94.1% and 84.0%, respectively. Perforation occurred in 16 of 119 patients (13.4%). The lesion size, lesion at the right half of the colon or across an intestinal plica, the degree of fibrosis, operation time, and the surgeon's experience were associated with perforation during ORB-ESD (P < 0.05). Multivariate logistic regression analysis showed that lesions in the right colon (OR 9.027; 95% CI 1.807-45.098; P = 0.007) and those across an intestinal plica (OR 7.771; 95% CI 1.298-46.536; P = 0.025) were independent risk factors for perforation during ORB-ESD. ORB-ESD is an effective and feasible approach to treat fibrotic colorectal lesions. Adequate preoperative evaluation is required for lesions in the right colon and across intestinal plicas to mitigate the risk of perforation.

Indexed as

Colorectal NeoplasmsEndoscopic Mucosal ResectionAgedColonFemaleFibrosisHumansIntestinal PerforationMaleMiddle AgedOperative TimeOrthodontic AppliancesRetrospective StudiesRisk FactorsRubberRubberEndoscopic mucosal dissectionFibrosisOrthodontic rubber bandPerforate

Identifiers

PMID39134559
PMCPMC11319352

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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.