Evidence map›Paper›PMID 42169697›Full record

ArticleTherapeutic advances in gastroenterology2026

Second-look endoscopy does not reduce delayed bleeding after endoscopic papillectomy: a multicenter propensity score-matched analysis.

Yuki Fujii, Kazuyuki Matsumoto, Toru Ueki, Hitomi Himei, Ichiro Sakakihara, Eijiro Ueta, Tatsuya Toyokawa, Ryo Harada, Taiji Ogawa, Takeshi Tomoda and 9 more

Abstract read
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In one paragraph

Article in Therapeutic advances in gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Yuki FujiiDepartment of Endoscopy, Okayama University Hospital, Okayama, Japan.ORCID https://orcid.org/0000-0002-4231-9955
Kazuyuki MatsumotoDepartment of Endoscopy, Okayama University Hospital, 2-5-1, Shikata-cho, Kita-ku, Okayama-city, Okayama 700-8558, Japan.ORCID https://orcid.org/0000-0002-5102-7452
Toru UekiDepartment of Gastroenterology, Fukuyama City Hospital, Hiroshima, Japan.
Hitomi HimeiDepartment of Gastroenterology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Ichiro SakakiharaDepartment of Gastroenterology, Kagawa Prefectural Central Hospital, Kagawa, Japan.
Eijiro UetaDepartment of Gastroenterology, National Hospital Organization Iwakuni Clinical Center, Yamaguchi, Japan.
Tatsuya ToyokawaDepartment of Gastroenterology, NHO Fukuyama Medical Center, Hiroshima, Japan.
Ryo HaradaDepartment of Gastroenterology, Japanese Red Cross Okayama Hospital, Okayama, Japan.
Taiji OgawaDepartment of Gastroenterology, Tsuyama Chuo Hospital, Okayama, Japan.
Takeshi TomodaDepartment of Gastroenterology, Okayama City Hospital, Okayama, Japan.
Hironari KatoDepartment of Gastroenterology, Okayama City Hospital, Okayama, Japan.
Toshiharu MitsuhashiCenter for Innovative Clinical Medicine, Medical Development Field, Okayama University, Okayama, Japan.
Ryosuke SatoDepartment of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan.
Akihiro MatsumiDepartment of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan.
Kazuya MiyamotoDepartment of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan.
Daisuke UchidaDepartment of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan.
Shigeru HoriguchiDepartment of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan.
Koichiro TsutsumiDepartment of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan.
Motoyuki OtsukaDepartment of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Delayed bleeding is a frequent and serious complication after endoscopic papillectomy (EP). Second-look endoscopy (SLE) is often scheduled on the following day for wound assessment and prophylactic hemostasis, but its clinical value remains unclear. Objectives: This study evaluated the effectiveness of SLE in preventing delayed bleeding after EP. Design: This study was a multicenter, retrospective cohort study. Methods: We retrospectively reviewed 132 consecutive patients who underwent EP at nine high-volume centers between 2003 and 2024 (SLE group, Results: After matching, 43 patients were included in each group. The incidence of delayed bleeding did not differ between the SLE and non-SLE groups (14% vs 9%, Conclusion: Routine SLE after EP does not reduce delayed bleeding. Moreover, prophylactic hemostasis in asymptomatic patients may unnecessarily prolong hospitalization. Hemostasis should be reserved for patients who develop clinical signs of bleeding.

Indexed as

delayed bleedingendoscopic papillectomypost-resection siteprophylactic hemostasissecond-look endoscopy

Identifiers

PMID42169697
PMCPMC13187380

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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.