Evidence map›Paper›PMID 40989004›Full record

ArticleDEN open2026

Effectiveness of Gel-immersion Endoscopic Injection Sclerotherapy Under Texture and Color Enhancement Imaging for Esophageal Varices: A Comparison of Variceal Visibility Under Gel With White Light Imaging.

Tsunetaka Kato, Takuto Hikichi, Jun Nakamura, Minami Hashimoto, Takumi Yanagita, Mitsuru Otsuka, Daiki Nemoto, Rei Suzuki, Mitsuru Sugimoto, Hiroyuki Asama and 6 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 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

16 authors.

Tsunetaka KatoDepartment of Endoscopy Fukushima Medical University Hospital Fukushima Japan.ORCID https://orcid.org/0000-0002-2529-2463
Takuto HikichiDepartment of Endoscopy Fukushima Medical University Hospital Fukushima Japan.ORCID https://orcid.org/0000-0002-9815-1557
Jun NakamuraDepartment of Endoscopy Fukushima Medical University Hospital Fukushima Japan.ORCID https://orcid.org/0000-0001-6006-1778
Minami HashimotoDepartment of Endoscopy Fukushima Medical University Hospital Fukushima Japan.
Takumi YanagitaDepartment of Endoscopy Fukushima Medical University Hospital Fukushima Japan.ORCID https://orcid.org/0000-0002-1236-857X
Mitsuru OtsukaDepartment of Gastroenterology Fukushima Medical University School of Medicine Fukushima Japan.
Daiki NemotoDepartment of Endoscopy Fukushima Medical University Hospital Fukushima Japan.ORCID https://orcid.org/0000-0002-6812-2966
Rei SuzukiDepartment of Gastroenterology Fukushima Medical University School of Medicine Fukushima Japan.ORCID https://orcid.org/0000-0002-4049-0484
Mitsuru SugimotoDepartment of Gastroenterology Fukushima Medical University School of Medicine Fukushima Japan.
Hiroyuki AsamaDepartment of Gastroenterology Fukushima Medical University School of Medicine Fukushima Japan.
Kentaro SatoDepartment of Gastroenterology Fukushima Medical University School of Medicine Fukushima Japan.
Hiroshi ShimizuDepartment of Gastroenterology Fukushima Medical University School of Medicine Fukushima Japan.
Kento OsawaDepartment of Gastroenterology Fukushima Medical University School of Medicine Fukushima Japan.
Rei OhiraDepartment of Gastroenterology Fukushima Medical University School of Medicine Fukushima Japan.
Masao KobayakawaDepartment of Endoscopy Fukushima Medical University Hospital Fukushima Japan.
Hiromasa OhiraDepartment of Gastroenterology Fukushima Medical University School of Medicine Fukushima Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Gel-immersion endoscopic injection sclerotherapy (GI-EIS) addresses the technical challenges in intravariceal injection for esophageal varices (EVs). However, gel accumulation may obscure the variceal morphology. Thus, we developed GI-EIS under texture and color enhancement imaging (TXI) and evaluated its effectiveness. Methods: This study included EV patients who underwent primary prophylactic intravariceal EIS. Patients were divided into GI-EIS under TXI and conventional EIS groups. Primary outcomes were the success rates of intravariceal sclerosant injection and sclerosant injection into the afferent vessels. Secondary outcomes included the visibility score of EV morphology under TXI compared with white light imaging (WLI) during gel-immersion and luminance gradient across the EVs. Results: Overall, 32 patients (16 in each group) were evaluated. The success rate of intravariceal sclerosant injection was comparable between GI-EIS under TXI and conventional EIS (93.8% vs. 87.5%, Conclusion: GI-EIS under TXI provided improved visualization of variceal morphology and enhanced success of injection into afferent vessels, suggesting that TXI may optimize the therapeutic performance of GI-EIS for EV.

Indexed as

endoscopic injection sclerotherapyesophageal varicesgel‐immersion endoscopyluminance gradienttexture and color enhancement imaging

Identifiers

PMID40989004
PMCPMC12452998

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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.