Evidence map›Paper›PMID 42662964›Full record

ArticleDEN open2027

Polyglycolic Acid Shield Prevents Repeated Delayed Bleeding After Endoscopic Stricturotomy for Anastomotic Stricture in Crohn's Disease: A Case Report.

Hidezumi Kikuchi, Taka Asari, Tetsuya Tatsuta, Kazuhiro Nagane, Kentaro Hoshi, Shohei Igarashi, Takato Maeda, Yasuhisa Murai, Shinji Ota, Hirotake Sakuraba

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

10 authors.

Hidezumi KikuchiDivision of Endoscopy Hirosaki University Hospital Aomori Japan.
Taka AsariDepartment of Gastroenterology Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori Japan.
Tetsuya TatsutaDepartment of Gastroenterology Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori Japan.
Kazuhiro NaganeDepartment of Gastroenterology Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori Japan.
Kentaro HoshiDepartment of Gastroenterology Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori Japan.
Shohei IgarashiDepartment of Gastroenterology Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori Japan.
Takato MaedaDepartment of Gastroenterology Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori Japan.
Yasuhisa MuraiDepartment of Gastroenterology Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori Japan.
Shinji OtaDepartment of Gastroenterology Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori Japan.
Hirotake SakurabaDepartment of Gastroenterology Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endoscopic stricturotomy (ES) is a novel approach for treating benign strictures of the lower gastrointestinal tract. However, it is performed at a limited number of facilities, and strategies for preventing complications have not yet been established. We performed ES for ileo-sigmoid anastomosis associated with Crohn's disease (CD). Although endoscopic dilatation was successful, delayed bleeding occurred. Endoscopic hemostasis provided temporary relief, but delayed bleeding recurred nine times within 17 days after ES. Combined hemostatic treatments with vascular forceps soft coagulation, biocompatible synthetic peptide gel, and endoscopic clips failed to stop recurrent bleeding. Infliximab infusion was also unsuccessful. Finally, wound coverage with polyglycolic acid (PGA) sheets prevented rebleeding and avoided abdominal surgery. Here, we report that covering with a PGA sheet and fibrin glue may be useful in preventing recurrent delayed bleeding after ES for anastomosis associated with CD.

Indexed as

complicationCrohn's diseaseendoscopic strictuotomyhemostasispolyglycolic acid

Identifiers

PMID42662964
PMCPMC13521330

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.