ArticleDigestive diseases and sciences2007
Surgical bypass versus endoscopic stenting for malignant gastroduodenal obstruction: a decision analysis.
Article in Digestive diseases and sciences, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 5 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 5 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Short-term relief or long-term solution? A comparison between endoscopic stenting and gastrojejunostomy for malignant gastric outlet obstruction.World journal of emergency surgery : WJES · 2026Pooled it
- Gastrojejunostomy versus endoscopic stenting for the palliation of malignant gastric outlet obstruction: a systematic review and meta-analysis.Surgical endoscopy · 2023Pooled it
- Stent placement versus surgical palliation for adults with malignant gastric outlet obstruction.The Cochrane database of systematic reviews · 2018Pooled it
- Laparoscopic gastrojejunostomy for gastric outlet obstruction in patients with unresectable hepatopancreatobiliary cancers: A personal series and systematic review of the literature.World journal of gastroenterology · 2018Pooled it
- A systematic review of methods to palliate malignant gastric outlet obstruction.Surgical endoscopy · 2010Pooled it
- Endoscopic ultrasound-guided gastroenterostomy versus open surgical gastrojejunostomy: clinical outcomes and cost effectiveness analysis.Surgical endoscopy · 2021Article
- Enteral Stents for Malignant Gastric Outlet Obstruction: Low Reintervention Rates for Obstruction due to Pancreatic Adenocarcinoma Versus Other Etiologies.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Endoscopic Management of Combined Biliary and Duodenal Obstruction.Clinical endoscopy · 2019Article
- Current role of palliative interventions in advanced pancreatic cancer.World journal of gastrointestinal surgery · 2018Review
- Laparoscopic gastrojejunostomy versus duodenal stenting in unresectable gastric cancer with gastric outlet obstruction.Annals of surgical treatment and research · 2017Article
- Treatment of gastric outlet obstruction that results from unresectable gastric cancer: Current evidence.World journal of gastrointestinal endoscopy · 2016Review
- Role of stenting in gastrointestinal benign and malignant diseases.World journal of gastrointestinal endoscopy · 2015Review
- Evidence-based recommendations on upper gastrointestinal tract stenting: a report from the stent study group of the korean society of gastrointestinal endoscopy.Clinical endoscopy · 2013Article
- Palliation of jaundice in pancreatic cancer: stent or surgery?Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2013Article
- Biliary stenting versus surgical bypass for palliation of periampullary malignancy.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2013Article
- Two overlapping uncovered metallic stents for duodenal obstruction due to primary lymphoma.Annals of gastroenterology · 2013Article
- Upper gastrointestinal stent.Clinical endoscopy · 2012Article
- Laparoscopic pancreatic surgery: what now and what next?Current gastroenterology reports · 2009Review
- Self-expanding metal stents for duodenal obstruction in advanced pancreatic adenocarcinoma.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2008Article
- Endoscopic management of gastric outlet obstruction disease.Annals of gastroenterologyReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The treatment options for palliating malignant gastroduodenal obstruction include open gastrojejunostomy (OGJ), laparoscopic gastrojejunostomy (LGJ), and endoscopic stenting (ES). The aim of this study was to compare the clinical outcomes and costs among ES, OGJ, and LGJ in patients who present with gastroduodenal obstruction from advanced upper gastrointestinal tract cancer. We designed a model for patients with malignant gastroduodenal obstruction. We analyzed success rates, complication rates and costs of the three treatment modalities: ES, OGJ, and LGJ. Baseline outcomes and costs were based on published reports. Success was defined as no major procedure-related and long-term complications over a 1-month period. Failure of therapy was defined as recurrent symptoms or death due to a procedural complication. Sensitivity analyses and cost-effectiveness analyses for the various strategies were performed. ES resulted in the lowest mortality rate and the lowest cost of the three treatment options analyzed. Mortality in the OGJ group was 2.1 times that in the ES cohort and 1.8 times that in the LGJ cohort. Sensitivity analyses confirmed ES as the dominant strategy. In conclusion, ES is the preferred treatment for palliation of duodenal obstruction due to advanced upper gastrointestinal tract cancer.
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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.