Evidence map›Paper›PMID 40860694›Full record

ArticleEndoscopy international open2025

Endoscopic papillectomy of major papilla lesions: Single tertiary care center experience.

Gaurav Suryawanshi, Mohamed Abdallah, Guru Trikudanathan, Stuart K Amateau, Shawn Mallery, Martin Freeman, Nabeel Azeem

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 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

5 · Who and what money

Authors and funding

7 authors.

Gaurav SuryawanshiGastroenterology, Hepatology and Nutrition, University of Minnesota Twin Cities, Minneapolis, United States.
Mohamed AbdallahGastroenterology, Hepatology and Nutrition, University of Minnesota Twin Cities, Minneapolis, United States.
Guru TrikudanathanGastroenterology, Hepatology and Nutrition, University of Minnesota Twin Cities, Minneapolis, United States.
Stuart K AmateauGastroenterology, Hepatology and Nutrition, University of Minnesota Twin Cities, Minneapolis, United States.
Shawn MalleryGastroenterology, Hepatology and Nutrition, University of Minnesota Twin Cities, Minneapolis, United States.
Martin FreemanGastroenterology, Hepatology and Nutrition, University of Minnesota Twin Cities, Minneapolis, United States.
Nabeel AzeemGastroenterology, Hepatology and Nutrition, University of Minnesota Twin Cities, Minneapolis, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and study aims: Endoscopic papillectomy (EP) is an effective endoscopic modality for managing ampullary lesions. This study aimed to evaluate predictors for recurrence and adverse events (AEs) in patients who underwent EP for major papilla lesions. Patients and methods: This was a retrospective analysis of all patients who underwent endoscopic snare papillectomy for a major papilla lesion between January 2006 and December 2021. We assessed multiple patient- and procedure-related variables to identify risk factors related to post-EP AEs and lesion recurrence using both univariate and multivariate analysis. In addition, we compared baseline characteristics and outcomes in patients with familial adenomatous polyposis (FAP) vs. sporadic ampullary lesions (SALs). Results: Fifty-one patients (11 FAP) were included in the final analysis. Recurrence was seen in 17 patients (37.0%) among those who followed up after technical success. Complete histological (R0) resection was the only factor associated with no recurrence following EP (odds ratio [OR] 5.4, 95% confidence interval [CI] 1.4-20.8, Conclusions: R0 resection was associated with reduced risk of recurrence whereas delayed bleeding after EP is associated with an increased risk of developing PEP. EP is safe and effective for removing ampullary lesions irrespective of lesion type.

Indexed as

Diagnostic ERCEndoscopic ultrasonographyGI PathologyGI surgeryPancreatobiliary (ERCP/PTCD)Subepithelial lesionsTissue diagnosis

Identifiers

PMID40860694
PMCPMC12371659

What OpenQuestion holds

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Registered trials

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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.