Evidence map›Paper›PMID 40860691›Full record

ArticleEndoscopy international open2025

Direct visualization endoscopic retrograde appendicitis therapy versus laparoscopic appendectomy for management of acute uncomplicated appendicitis.

Jun-Yu Pan, Hui-Xin Zhi, Jie-Li Chen, Hao-Xin Chen, De-Feng Li, Jun Yao, Li-Sheng Wang

Erratum issuedAbstract read
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Article in Endoscopy international open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Jun-Yu PanDepartment of Gastroenterology, The Second Clinical Medical College of Jinan University, Department of Gastroenterology, Shenzhen People's Hospital, Shenzhen, 518020, Guangdong, China, shenzhen, China.ORCID 0009-0005-1802-9498
Hui-Xin ZhiDepartment of Gastroenterology, The Second Clinical Medical College of Jinan University, Department of Gastroenterology, Shenzhen People's Hospital, Shenzhen, 518020, Guangdong, China, shenzhen, China.
Jie-Li ChenDepartment of Gastroenterology, The Second Clinical Medical College of Jinan University, Department of Gastroenterology, Shenzhen People's Hospital, Shenzhen, 518020, Guangdong, China, shenzhen, China.
Hao-Xin ChenDepartment of Gastroenterology, The Second Clinical Medical College of Jinan University, Department of Gastroenterology, Shenzhen People's Hospital, Shenzhen, 518020, Guangdong, China, shenzhen, China.
De-Feng LiDepartment of Gastroenterology, The Second Clinical Medical College of Jinan University, Department of Gastroenterology, Shenzhen People's Hospital, Shenzhen, 518020, Guangdong, China, shenzhen, China.
Jun YaoDepartment of Gastroenterology, The Second Clinical Medical College of Jinan University, Department of Gastroenterology, Shenzhen People's Hospital, Shenzhen, 518020, Guangdong, China, shenzhen, China.
Li-Sheng WangDepartment of Gastroenterology, The Second Clinical Medical College of Jinan University, Department of Gastroenterology, Shenzhen People's Hospital, Shenzhen, 518020, Guangdong, China, shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and study aims: Direct visualization endoscopic retrograde appendicitis therapy (ERAT), an advanced technique building upon conventional ERAT, represents a novel endoscopic approach for managing acute uncomplicated appendicitis. This study aimed to assess clinical efficacy and safety of employing cholangioscope-guided endoscopic intervention as a therapeutic approach. Patients and methods: A retrospective analysis was conducted on 656 patients presenting with suspected acute appendicitis between February 2024 and November 2024. To minimize baseline differences, propensity score matching was applied, resulting in a final study population of 34 patients undergoing direct visualization ERAT and 68 patients treated with laparoscopic appendectomy (LA). Key outcome measures included technical and clinical success rates, operative time, time to postoperative pain resolution, length of hospital stay, recurrence rate, incidence of adverse events (AEs), and overall patient satisfaction. Results: The technical success rate was 97.06% (33/34) in the ERAT group and 100% in the LA group ( Conclusions: Direct visualization ERAT demonstrated high feasibility and effectiveness as a diagnostic and therapeutic modality for acute uncomplicated appendicitis, offering a promising alternative to conventional approaches.

Indexed as

CholangioscopyEndoscopy Lower GI TractPancreatobiliary (ERCP/PTCD)Stenting

Identifiers

PMID40860691
PMCPMC12371657

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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.