Evidence map›Paper›PMID 40779132›Full record

ArticleSurgical endoscopy2025

Feasibility and safety of endoscopic full-thickness resection of large gastric subepithelial lesions outside the operating room: 10 years of experience in a large tertiary hospital in China.

Taiyu Chen, Foqiang Liao, Kang Li, Yunfeng Huang, Jianfang Rong, Zhenhua Zhu, Xiaolin Pan, Shunhua Long, Guohua Li, Xiaojiang Zhou and 3 more

Abstract read
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In one paragraph

Article in Surgical endoscopy, 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

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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

13 authors.

Taiyu Chen *Department of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Road, Nanchang, 330006, Jiangxi, China.
Foqiang Liao *Department of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Road, Nanchang, 330006, Jiangxi, China.
Kang Li *Department of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Road, Nanchang, 330006, Jiangxi, China.
Yunfeng HuangDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Road, Nanchang, 330006, Jiangxi, China.
Jianfang RongDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Road, Nanchang, 330006, Jiangxi, China.
Zhenhua ZhuDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Road, Nanchang, 330006, Jiangxi, China.
Xiaolin PanDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Road, Nanchang, 330006, Jiangxi, China.
Shunhua LongDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Road, Nanchang, 330006, Jiangxi, China.
Guohua LiDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Road, Nanchang, 330006, Jiangxi, China.
Xiaojiang ZhouDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Road, Nanchang, 330006, Jiangxi, China.
Youxiang ChenDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Road, Nanchang, 330006, Jiangxi, China.
Yin ZhuDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Road, Nanchang, 330006, Jiangxi, China. ndyfy01977@ncu.edu.cn.
Xu ShuDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Road, Nanchang, 330006, Jiangxi, China. jxmushx@126.com.ORCID http://orcid.org/0000-0002-0861-5742

Funding

Double-Thousand Plan of Jiangxi Province jxsq2023201044National Natural Science Foundation of China 82360119
6 · The paper itself

Abstract

backgroundSeveral studies have confirmed the safety and efficacy of endoscopic full-thickness resection (EFTR) of gastric subepithelial lesions (SELs), but many hospitals need to perform EFTR procedures in the operating room.

objectiveThe objective was to evaluate the safety and feasibility of EFTR of large (≥ 3 cm) gastric SELs outside the operating room based on our 10 years of experience.

methodsPatients with large gastric SELs who received EFTR from January 2013 to August 2023 were included. Univariate and multivariate logistic regression analyses were used to explore the risk factors for postoperative fever.

results81 patients were included. The average maximum diameter of tumor was 39.41 ± 9.34 mm, and 72 cases (88.9%) achieved en bloc resection. The average procedure time was 89.93 ± 49.80 min; no patients had postoperative hemorrhage or perforation. Follow-up showed no recurrence and metastasis. Multivariate regression analysis found that the tumor located in the middle and lower 1/3 of the stomach [odds ratio (OR) 3.208, 95% confidence interval (CI) 1.064-9.674; P = 0.038] and maximum diameter ≥ 39 mm (OR 3.136, 95% CI 1.105-8.900, P = 0.032) were risk factors for postoperative fever, while prophylactic antibiotic use (OR 0.249, 95% CI 0.066-0.941, P = 0.040) was a protective factor.

conclusionEFTR of gastric SELs outside the operating room is safe and feasible. Patients with tumors larger than 39 mm or in the lower middle third of the stomach are more likely to have postoperative fever, and prophylactic antibiotic use can reduce the risk.

Indexed as

Endoscopic Mucosal ResectionGastroscopyStomach NeoplasmsAdultAgedChinaFeasibility StudiesFemaleFeverHumansMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesRisk FactorsEndoscopic full-thickness resectionEndoscopyFeasibilityGastric stromal tumorSafety

Identifiers

PMID40779132

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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.