Evidence map›Paper›PMID 39449767›Full record

ArticleDEN open2025

Clinical usefulness of hybrid endoscopic submucosal dissection for T1b colorectal carcinomas ≤20 mm to ensure adequate vertical margins.

Yudai Takehara, Ken Yamashita, Shin Morimoto, Fumiaki Tanino, Noriko Yamamoto, Yuki Kamigaichi, Hidenori Tanaka, Hidehiko Takigawa, Yuji Urabe, Toshio Kuwai and 2 more

Abstract read
In one paragraph

Article in DEN open, 2025. 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.

Yudai TakeharaDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Ken YamashitaDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.ORCID https://orcid.org/0009-0000-0350-8553
Shin MorimotoDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Fumiaki TaninoDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Noriko YamamotoDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Yuki KamigaichiDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Hidenori TanakaDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.ORCID https://orcid.org/0000-0002-3646-5796
Hidehiko TakigawaDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.
Yuji UrabeDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.ORCID https://orcid.org/0009-0009-9851-8564
Toshio KuwaiGastrointestinal Endoscopy and Medicine Hiroshima University Hospital Hiroshima Japan.ORCID https://orcid.org/0000-0001-9956-1358
Koji ArihiroDepartment of Anatomical Pathology Hiroshima University Hospital Hiroshima Japan.
Shiro OkaDepartment of Gastroenterology Hiroshima University Hospital Hiroshima Japan.ORCID https://orcid.org/0000-0002-1652-0743

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate endoscopic resection strategies for cT1b colorectal carcinomas (CRCs) ≤20 mm to determine strategies that enable adequate vertical margins (VMs). Methods: We enrolled 128 consecutive patients with cT1b colorectal carcinomas ≤20 mm resected by endoscopic mucosal resection or hybrid endoscopic submucosal dissection (ESD). Tumor lifting conditions after submucosal injection were classified into type A (lifting, soft dome-like), type B (lifting, hard trapezoid-like), and non-lifting (positive non-lifting sign). Predictors of positive VMs (VM 1) and adequate VMs were identified. Results: All non-lifting tumors were resected by hybrid ESD and VMs were ≥500 µm. Vertical margin 1 tumors were only found in the endoscopic mucosal resection group, in which, the proportion of type B tumors with VM 1 was significantly higher than that of tumors with negative VMs ( Conclusions: Hybrid ESD can be selected for type B tumors to ensure adequate VMs.

Indexed as

colorectal carcinomaendoscopic mucosal resectionendoscopic submucosal dissectionrecurrencetumor

Identifiers

PMID39449767
PMCPMC11499709

What OpenQuestion holds

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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.