Evidence map›Paper›PMID 40230564›Full record

ArticleEndoscopy international open2025

Efficacy of water pressure method for colorectal endoscopic submucosal dissection: Propensity-score matching analysis.

Kumiko Kirita, Teppei Akimoto, Masahiro Niikawa, Keiichiro Yoshikata, Shun Nakagome, Tsugumi Habu, Yumiko Ishikawa, Eriko Koizumi, Kazutoshi Higuchi, Hiroto Noda and 6 more

Abstract read
In one paragraph

Article in Endoscopy international open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Clinical Outcomes of Underwater Endoscopic Submucosal Dissection for Duodenal Tumors: A Systematic Review and Meta-Analysis.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
    Pooled it
  2. Article
  3. Review
  4. 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.

Kumiko KiritaDepartment of Gastroenterology, Nippon Medical School Chiba Hokusoh Hospital, Inzai-city, Japan.ORCID 0000-0003-2960-6690
Teppei AkimotoDepartment of Gastroenterology, Nippon Medical School Chiba Hokusoh Hospital, Inzai-city, Japan.ORCID 0000-0002-7472-5210
Masahiro NiikawaDepartment of Gastroenterology, Nippon Medical School Chiba Hokusoh Hospital, Inzai-city, Japan.
Keiichiro YoshikataDepartment of Gastroenterology, Nippon Medical School, Bunkyo-ku, Japan.
Shun NakagomeDepartment of Gastroenterology, Nippon Medical School, Bunkyo-ku, Japan.
Tsugumi HabuDepartment of Gastroenterology, Nippon Medical School, Bunkyo-ku, Japan.ORCID 0000-0002-8080-8151
Yumiko IshikawaDepartment of Gastroenterology, Nippon Medical School, Bunkyo-ku, Japan.
Eriko KoizumiDepartment of Gastroenterology, Nippon Medical School, Bunkyo-ku, Japan.
Kazutoshi HiguchiDepartment of Gastroenterology, Nippon Medical School, Bunkyo-ku, Japan.ORCID 0000-0003-4386-6288
Hiroto NodaDepartment of Gastroenterology, Nippon Medical School, Bunkyo-ku, Japan.
Takeshi OndaDepartment of Gastroenterology, Nippon Medical School, Bunkyo-ku, Japan.
Jun OmoriDepartment of Gastroenterology, Nippon Medical School, Bunkyo-ku, Japan.
Naohiko AkimotoDepartment of Gastroenterology, Nippon Medical School, Bunkyo-ku, Japan.
Osamu GotoDepartment of Gastroenterology, Nippon Medical School, Bunkyo-ku, Japan.ORCID 0000-0002-1039-6323
Shunji FujimoriDepartment of Gastroenterology, Nippon Medical School Chiba Hokusoh Hospital, Inzai-city, Japan.
Katsuhiko IwakiriDepartment of Gastroenterology, Nippon Medical School, Bunkyo-ku, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and study aims: Technical difficulty of endoscopic submucosal dissection (ESD) for colorectal neoplasms has not been resolved. The water pressure method (WPM) is a helpful technique for overcome difficulties with colorectal ESD. We evaluated the efficacy and safety of ESD with WPM (WPM-ESD) for colorectal neoplasms compared with conventional ESD (C-ESD). Patients and methods: This was a single-center, retrospective, observational study. Three hundred and eleven colorectal lesions were allocated into the WPM-ESD and the C-ESD groups, which were compared before and after propensity score matching. The main outcomes were procedure time, proportion of R0 resection, and incidence of adverse events (AEs) in the two groups. Results: The WPM-ESD and C-ESD groups were allocated 134 and 177 lesions, respectively, and propensity score matching analysis created 92 matched pairs. Mean procedure time was significantly shorter in the WPM-ESD group (49 ± 26 vs. 58 ± 42 min, Conclusions: WPM for colorectal ESD may shorten procedure time compared with C-ESD without increasing AEs.

Indexed as

Colorectal cancerEndoscopic resection (polypectomy, ESD, EMRc, ...)Endoscopy Lower GI TractPolyps / adenomas / ...

Identifiers

PMID40230564
PMCPMC11996012

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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.