Evidence map›Paper›PMID 42582981›Full record

ArticleDEN open2027

Efficacy of Overtube in Preventing Aspiration Pneumonia During Esophageal Endoscopic Submucosal Dissection.

Masaki Ominami, Shusei Fukunaga, Daiki Kitagawa, Mitsuhiro Kono, Shunsuke Takahashi, Tatsuya Kurokawa, Yoshinori Shimamoto, Yuki Hisaki, Natsumi Maeda, Yuki Ishikawa-Kakiya and 8 more

Abstract read
In one paragraph

Article in DEN open, 2027. 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

18 authors.

Masaki OminamiDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Shusei FukunagaDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Daiki KitagawaDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Mitsuhiro KonoDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Shunsuke TakahashiDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Tatsuya KurokawaDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Yoshinori ShimamotoDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Yuki HisakiDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Natsumi MaedaDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Yuki Ishikawa-KakiyaDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Kojiro TanoueDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Akinari SawadaDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Yu NishidaDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Hirotsugu MaruyamaDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Yuji NadataniDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Koji OtaniDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Shuhei HosomiDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Yasuhiro FujiwaraDepartment of Gastroenterology Osaka Metropolitan University Graduate School of Medicine Osaka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Aspiration pneumonia is a potential adverse event of esophageal endoscopic submucosal dissection (ESD). Using an overtube during esophageal ESD may reduce the amount of fluid refluxing into the oral cavity and prevent aspiration pneumonia. This study aimed to clarify the preventive effects of overtubes on aspiration pneumonia during esophageal ESD. Methods: Between January 2015 and May 2020, 534 consecutive patients underwent esophageal ESD under intravenous anesthesia without endotracheal intubation at our hospital. Using propensity score matching and inverse probability of treatment weighting (IPTW), we retrospectively evaluated the risk factors and incidence of aspiration pneumonia during esophageal ESD. Results: A total of 393 patients who underwent esophageal ESD were enrolled. After matching, 99 matched pairs of patients either had an overtube used during esophageal ESD or did not. The overall incidence of aspiration pneumonia was 15.2%. The incidence of aspiration pneumonia was significantly higher in the non-overtube group than in the overtube group (22.2% vs. 8.1%; Conclusions: Not using an overtube was a risk factor for aspiration pneumonia during esophageal ESD. Therefore, the use of an overtube is recommended to prevent aspiration pneumonia. Trial Registration: N/A.

Indexed as

adverse eventsaspiration pneumoniaearly esophageal cancerendoscopic submucosal dissectionovertube

Identifiers

PMID42582981
PMCPMC13458985

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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.