Evidence map›Paper›PMID 41646066›Full record

ArticleiGIE : innovation, investigation and insights2023

Efficacy and safety of submucosal tunneling endoscopic resection for subepithelial tumors in the upper GI tract: a systematic review and meta-analysis of >2900 patients.

Kyaw Min Tun, Banreet S Dhindsa, Zahra Dossaji, Smit S Deliwala, Gopi Narra, Lubaba Haque, Chun-Han Lo, Amaninder Dhaliwal, Saurabh Chandan, Daryl Ramai and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in iGIE : innovation, investigation and insights, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07411118 (Exposed Endoscopic Full Thickness Resection), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT07411118 narecruitingnot on this mapstarted 2025, after this paper: background citation

Exposed Endoscopic Full Thickness Resection (EFTR) Versus Submucosal Tunnelling Endoscopic Resection (STER) for Small Gastric Gastrointestinal Stromal Tumor (GIST) - an International Double Blinded Randomized Controlled Trial

TypeinterventionalSponsorChinese University of Hong KongRan2025 to 2033Enrolled136ConditionsSmall Size Gastrointestinal Stromal Tumors, GISTArmsEndoscopic full thickness resection (EFTR) / Exposed non-tunneling EFTR, Submucosal Tunneling Endoscopic Resection (STER) / Exposed tunneling EFTR
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. 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

12 authors.

Kyaw Min TunDepartment of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, Nevada, USA.
Banreet S DhindsaDivision of Gastroenterology and Hepatology, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Zahra DossajiDepartment of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, Nevada, USA.
Smit S DeliwalaDivision of Gastroenterology and Hepatology, Emory University School of Medicine, Atlanta, Georgia, USA.
Gopi NarraDepartment of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, Nevada, USA.
Lubaba HaqueDepartment of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, Nevada, USA.
Chun-Han LoDepartment of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, Nevada, USA.
Amaninder DhaliwalDivision of Gastroenterology and Hepatology, University of South Carolina School of Medicine, Florence, South Carolina, USA.
Saurabh ChandanDivision of Gastroenterology and Hepatology, Creighton University School of Medicine, Omaha, Nebraska, USA.
Daryl RamaiDivision of Gastroenterology and Hepatology, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Shailender SinghDivision of Gastroenterology and Hepatology, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Douglas G AdlerCenter for Advanced Therapeutic Endoscopy, Centura Health, Denver, Colorado, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: Submucosal tunnel endoscopic resection (STER) is an emerging therapeutic tool that allows direct visualization and resection of submucosal tunneling endoscopic resection (SETs) from the upper GI tract while maintaining the integrity of the mucosa. Our aim was to conduct a systematic review and meta-analysis to evaluate the efficacy and safety of STER in treating all types of SETs found in the upper GI tract. Methods: A comprehensive search of major databases such as PubMed/Medline, Embase, Results: Eighteen studies with 2941 patients were included; the mean age was 49.74 years, and 61.82% were male. Pooled rates for the overall R0 resection, en bloc resection, and AEs were 92.4%, 91.5%, and 17.8%, respectively. However, only 1.2% of AEs were considered severe. The en bloc resection rate for the tumors in the esophagogastric junction layer was lower at 81.5%. The R0 and en bloc resection rates for tumors originating from the muscularis propria layer were also lower (88.3% and 89.1%). Gas-related adverse events were the most frequent AE with a rate of 5.9%. The recurrence rate was 2.3%. Conclusions: Our meta-analysis showed that STER is overall an effective and safe therapeutic modality to remove SETs from the upper GI tract.

Identifiers

PMID41646066
PMCPMC12850853

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.