Evidence map›Paper›PMID 25580111›Full record

ArticleGastroenterology research and practice2014

The Effectiveness of Self-Expandable Metallic Stent Insertion in Treating Right-Sided Colonic Obstruction: A Comparison between SEMS and Decompression Tube Placement and an Investigation of the Safety and Difficulties of SEMS Insertion in Right Colons.

Rintaro Moroi, Katsuya Endo, Ryo Ichikawa, Hiroshi Nagai, Hirohiko Shinkai, Tomoya Kimura, Fumitake Ishiyama, Kei Yaguchi, Shoichi Kayaba, Tooru Shimosegawa

Open access · goldAbstract read
In one paragraph

Article in Gastroenterology research and practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 17% of its field
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. Observational
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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 at 2 institutions in 1 country.

Rintaro MoroiDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, Japan.
Katsuya EndoDivision of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1 Seiryo, Aoba-ku, Sendai, Miyagi 980-8574, Japan.
Ryo IchikawaDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, Japan.
Hiroshi NagaiDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, Japan.
Hirohiko ShinkaiDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, Japan.
Tomoya KimuraDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, Japan ; Division of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1 Seiryo, Aoba-ku, Sendai, Miyagi 980-8574, Japan.
Fumitake IshiyamaDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, Japan.
Kei YaguchiDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, Japan.
Shoichi KayabaDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, Japan.
Tooru ShimosegawaDivision of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1 Seiryo, Aoba-ku, Sendai, Miyagi 980-8574, Japan.
Iwate Prefectural Central Hospital · JPTohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives. Self-expandable metallic stent (SEMS) is widely used to treat malignant colonic obstruction. However, most reports about SEMS insertion have concentrated on the left colon. This study aimed to (1) investigate the effectiveness of SEMS insertion compared with conventional decompression tube for right-sided colonic obstruction and (2) compare the safety and technical success of SEMS insertion between left- and right-sided colonic obstructions. Methods. The data from thirty-seven patients who underwent SEMS or conventional decompression tube placement for malignant colonic obstruction in our hospital were analyzed retrospectively. Technical and clinical success, complications, and technical difficulties were analyzed. We compared the results between SEMS insertion and decompression tube placement in right colons and the outcomes of SEMS insertion between right- and left-sided colonic obstructions. Results. For right colons, the clinical success rate of SEMS insertion (100%) was significantly higher than that of decompression tube placement (55.9%). Concerning SEMS insertion, the technical difficulty and safety of SEMS insertion were similar between right- and left-sided colonic obstructions. Conclusion. SEMS insertion for right-sided colon is significantly more effective than conventional decompression tube placement, and this procedure was safer and less technically challenging than expected. SEMS insertion should be considered for treating right-sided malignant colonic obstruction.

Identifiers

PMID25580111
PMCPMC4279257
OpenAlexW2130113984

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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.