Evidence map›Paper›PMID 28321166›Full record

ArticleWorld journal of gastroenterology2017

Outcomes of gastrointestinal defect closure with an over-the-scope clip system in a multicenter experience: An analysis of a successful suction method.

Hideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Takayoshi Yamada, Masao Fujiwara, Keiichi Okano, Yasuyuki Suzuki, Masayuki Murota and 4 more

Abstract readMulticenter Study
In one paragraph

Article in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

14 authors.

Hideki KobaraHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Hirohito MoriHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Shintaro FujiharaHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Noriko NishiyamaHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Taiga ChiyoHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Takayoshi YamadaHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Masao FujiwaraHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Keiichi OkanoHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Yasuyuki SuzukiHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Masayuki MurotaHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Yoshitaka IkedaHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Makoto OryuHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Mohamed AboEllailHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Tsutomu MasakiHideki Kobara, Hirohito Mori, Shintaro Fujihara, Noriko Nishiyama, Taiga Chiyo, Tsutomu Masaki, Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo demonstrate the clinical outcomes of a multicenter experience and to suggest guidelines for choosing a suction method.

methodsThis retrospective study at 5 medical centers involved 58 consecutive patients undergoing over-the-scope clips (OTSCs) placement. The overall rates of technical success (TSR), clinical success (CSR), complications, and procedure time were analyzed as major outcomes. Subsequently, 56 patients, excluding two cases that used the Anchor device, were divided into two groups: 14 cases of simple suction (SS-group) and 42 cases using the Twin Grasper (TG-group). Secondary evaluation was performed to clarify the predictors of OTSC success.

resultsThe TSR, CSR, complication rate, and median procedure time were 89.7%, 84.5%, 1.8%, and 8 (range 1-36) min, respectively, demonstrating good outcomes. However, significant differences were observed between the two groups in terms of the mean procedure time (5.9 min

conclusionOTSC system is a safe and effective therapeutic option for gastrointestinal defects. Individualized selection of the suction method based on particular clinical conditions may contribute to the improvement of OTSC success.

Indexed as

Surgical InstrumentsAdultAgedAged, 80 and overDigestive System FistulaEndoscopyEndoscopy, GastrointestinalEquipment DesignFemaleGastrointestinal HemorrhageHemorrhageHemostasis, EndoscopicHumansMaleMiddle AgedOperative TimeEndoscopic closureFistulaGastrointestinal refractory bleedingLeakOver-the-scope clip

Identifiers

PMID28321166
PMCPMC5340817

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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.