ArticleBMC research notes2013
Outcomes of endoscopic pyloric stenting in malignant gastric outlet obstruction: a retrospective study.
Article in BMC research notes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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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.
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Who cites it
5 citing papers in PubMed, 12 citations in OpenAlex.
- Management of gastric outlet obstruction: Focusing on endoscopic approach.World journal of gastrointestinal pharmacology and therapeutics · 2020Review
- Is noncurative gastrectomy always a beneficial strategy for stage IV gastric cancer?Annals of surgical treatment and research · 2017Article
- Outcomes of endoscopically inserted self-expandable metal stents in malignancy according to the type of stent and the site of obstruction.Surgical endoscopy · 2016Article
- Enteral stents are safe and effective to relieve malignant gastric outlet obstruction in the elderly.Journal of gastrointestinal cancer · 2015Article
- Pyloric stent insertion in malignant gastric outlet obstruction: moving beyond palliation.Therapeutic advances in gastrointestinal endoscopyArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUp to 30% of patients with pancreatic cancer and more than 50% of patients with gastric cancer already have incurable disease, with distressing symptoms of gastric outlet obstruction at the time of presentation which require effective palliation. We decided to test the clinical outcomes of endoscopic stent placement in malignant gastric outlet obstruction.
methodsIn a retrospective single institution-based study, the charts of patients who had self-expandable metal stents placed to alleviate malignant gastric outlet obstruction were reviewed. Charts were reviewed to assess improvement in oral intake according to the Gastric Outlet Obstruction Scoring System (GOOSS), and in order to also evaluate technical success and complications of the procedure.
results69 patients with successful stent placement were retrospectively evaluated. Within 7 and 28 days after stent placement respectively, 85.5% and 80% benefited from stent insertion, with an increase in the GOOSS score of > 1. Resumption of soft or low residue diet (GOOSS 2-3) was achieved in 53.6% at day 7 and in 62% of patients at day 28, respectively. Of the patients achieving a GOOSS score of 2-3, 17.3% remained on a soft or low residue diet at 24 weeks or at last follow up, while 46% died. Stent related adverse events occurred in 10 patients (14%), including stent blockade in 7 and stent migration in 3 patients.
conclusionEndoscopic enteral stenting promptly increases oral intake in the majority of patients with malignant gastric outlet obstruction and is a safe procedure with a low rate of serious complications.
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