Evidence map›Paper›PMID 40400929›Full record

ArticleJournal of thoracic disease2025

Photodynamic therapy as a promising treatment for long-segment and whole-circumferential early esophageal cancer.

Lin Yuan, Ruijin Zhang, Jie Hua, Guoxin Zhang, Xinmin Si, Weifeng Zhang, Jinliang Ni, Xueliang Li

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2025. 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. Article
  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

8 authors.

Lin Yuan *Department of Gastroenterology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0009-0002-6051-8162
Ruijin Zhang *Central Laboratory, Jiangsu Health Development Research Center, Nanjing, China.
Jie HuaDepartment of Gastroenterology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Guoxin ZhangDepartment of Gastroenterology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Xinmin SiDepartment of Gastroenterology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Weifeng ZhangDepartment of Gastroenterology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Jinliang NiDepartment of Gastroenterology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Xueliang LiDepartment of Gastroenterology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0000-0001-6674-1889

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Photodynamic therapy (PDT) is an effective endoscopic therapy indicated for early esophageal cancer, but there have been few reports of PDT for circumferential lesions so far. The objective of this study is to investigate the clinical outcome of PDT for patients with whole-circumferential early esophageal squamous cell carcinoma (ESCC), especially the subsequent process of esophageal stricture. Methods: Twelve patients with whole-circumferential early ESCC, who received PDT between January 2020 and July 2022 at the First Affiliated Hospital with Nanjing Medical University were retrospectively evaluated. An analysis for comparisons between the results of PDT and contemporaneous endoscopic submucosal dissection (ESD) for similar esophageal lesions was conducted. Results: The complete response (CR) rate was 83.33% after PDT treatment for a median tumor length of 9.5 cm. A longer tumor length (>10 cm) was the risk factor of PDT failure (P=0.045). Compared to the ESD group, the procedure was significantly shorter for PDT, and postoperative fever and bleeding seemed to occur less. Without prophylactic measures, the esophageal stricture rate was 80% after PDT, which was close to that in the ESD group with steroid administration (76.9%, P>0.99). The mean onset time of obvious dysphagia was 7.63±4.34 and 4.29±2.49 weeks respectively after PDT and ESD (P=0.02). The post-PDT esophageal strictures were easily resolved with a simpler dilation modality and the estimated dysphagia duration tended to be shorter than that after ESD (12.72±3.04 Conclusions: PDT can be expected to be an effective and safe endoscopic modality for long-segment and whole-circumferential early ESCC.

Indexed as

Endoscopic submucosal dissection (ESD)endoscopic treatmentesophageal canceresophageal stricturephotodynamic therapy (PDT)

Identifiers

PMID40400929
PMCPMC12090139

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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.