Evidence map›Paper›PMID 40933880›Full record

ArticleDEN open2026

Endoscopic Full-thickness Resection for Gastric Submucosal Tumor: A Technical Analysis Study (With Video).

Hitoshi Mori, Noriya Uedo, Satoki Shichijo, Muneshin Morita, Yushi Kawakami, Yasuhiro Tani, Hiroyoshi Iwagami, Muneaki Miyake, Taro Iwatsubo, Minoru Kato and 11 more

Abstract read
In one paragraph

Article in DEN open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  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

21 authors.

Hitoshi MoriDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.
Noriya UedoDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.ORCID https://orcid.org/0000-0002-3029-9272
Satoki ShichijoDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.
Muneshin MoritaDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.ORCID https://orcid.org/0009-0008-3280-6902
Yushi KawakamiDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.
Yasuhiro TaniDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.
Hiroyoshi IwagamiDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.ORCID https://orcid.org/0000-0002-6312-8541
Muneaki MiyakeDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.
Taro IwatsuboDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.ORCID https://orcid.org/0000-0001-7721-8292
Minoru KatoDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.
Shunsuke YoshiiDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.ORCID https://orcid.org/0000-0002-7817-1809
Takashi KanesakaDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.
Koji HigashinoDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.
Tomoki MichidaDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.
Ryu IshiharaDepartment of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.ORCID https://orcid.org/0000-0002-8796-718X
Naoki ShinnoDepartment of Gastroenterological Surgery Osaka International Cancer Institute Osaka Japan.
Hisashi HaraDepartment of Gastroenterological Surgery Osaka International Cancer Institute Osaka Japan.
Yoshitomo YanagimotoDepartment of Gastroenterological Surgery Osaka International Cancer Institute Osaka Japan.
Kazuyoshi YamamotoDepartment of Gastroenterological Surgery Osaka International Cancer Institute Osaka Japan.
Takeshi OmoriDepartment of Gastroenterological Surgery Osaka International Cancer Institute Osaka Japan.
Hitoshi YoshijiDepartment of Gastroenterology Nara Medical University Nara Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Endoscopic full-thickness resection (EFTR) is an effective treatment method for gastric submucosal tumors (SMTs). We aimed to perform a technical analysis of EFTR in gastric SMT and compare it with the outcome parameters. Method: Sixty-one gastric SMTs from 60 patients were resected using EFTR. The indication criteria: size, 11-30 mm, connection to the muscularis propria on endoscopic ultrasonography, intraluminal growth type, no ulceration, and histologically evident or clinically suspicious gastrointestinal stromal tumors (GISTs). The following technical improvements were introduced during the study Periods 1-3: routine use of clip-line traction (Periods 1-3); use of a plastic bag retriever (Periods 2-3); adaptation of the reopenable clip over-the-line method (ROLM, Period 3); implementation of no-touch EFTR (Period 3); and elimination of submucosal injection (Period 3). Results: The endoscopic complete resection rate was 100%, with a similar tumor resection time (median, 50 min) throughout the periods. Specimen damage was less frequent after using the plastic bag retriever in Periods 2 and 3 ( Conclusion: Several technical improvements significantly improved the outcomes of EFTR for gastric SMTs, warranting the external validation of this technique.

Indexed as

endoscopyfull‐thickness resectiongastrointestinal stromal tumorsstomachsubmucosal tumor

Identifiers

PMID40933880
PMCPMC12417311

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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.