Evidence map›Paper›PMID 28924591›Full record

ArticleEndoscopy international open2017

Safety and efficacy of coaxial lumen-apposing metal stents in the management of refractory gastrointestinal luminal strictures: a multicenter study.

Fateh Bazerbachi, Jason D Heffley, Barham K Abu Dayyeh, Jose Nieto, Eric J Vargas, Tarek Sawas, Raja Zaghlol, Navtej S Buttar, Mark D Topazian, Louis M Wong Kee Song and 4 more

Open access · goldAbstract read
In one paragraph

Article in Endoscopy international open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Endoscopic management of severe colo-colonic anastomotic stricture.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2023
    Article
  5. Article
  6. Review
  7. Article
  8. Long-term treatment of an ischemic jejunal stricture: Is stenting a viable option?VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Extrabiliary applications of fully covered antimigration biliary metal stents.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2020
    Article
  14. Alternative uses of lumen apposing metal stents.World journal of gastroenterology · 2020
    Review
  15. Article
  16. Lumen-apposing stent placement for management of a short benign colonic anastomotic stricture.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2018
    Article
  17. Article
  18. Review
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 at 4 institutions in 1 country.

Fateh BazerbachiDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, United States.
Jason D HeffleyDivision of Digestive Diseases, Department of Medicine, Emory University, Atlanta, Georgia, United States.
Barham K Abu DayyehDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, United States.
Jose NietoBorland-Groover Clinic, Jacksonville, Florida, United States.
Eric J VargasDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, United States.
Tarek SawasDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, United States.
Raja ZaghlolDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, United States.
Navtej S ButtarDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, United States.
Mark D TopazianDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, United States.
Louis M Wong Kee SongDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, United States.
Michael LevyDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, United States.
Steve KeilinDivision of Digestive Diseases, Department of Medicine, Emory University, Atlanta, Georgia, United States.
Qiang CaiDivision of Digestive Diseases, Department of Medicine, Emory University, Atlanta, Georgia, United States.
Field F WillinghamDivision of Digestive Diseases, Department of Medicine, Emory University, Atlanta, Georgia, United States.
Mayo Clinic · USEmory University · USWinnMed · USBorland Groover Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsBenign gastrointestinal (GI) strictures are often refractory to standard endoscopic interventions. Fully covered coaxial lumen-apposing metal stents (LAMS) have emerged as a novel therapy for these strictures. The aim of this study was to evaluate the safety and efficacy of LAMS for refractory GI strictures. PATIENTS AND

methodsA retrospective analysis was performed for patients who underwent LAMS placement for benign luminal strictures in three US centers between January 2014 and December 2016. The primary outcomes were technical success and initial clinical success of LAMS placement. Secondary outcomes were stent migration, rate of re-intervention, and adverse events.

resultsA total of 49 patients underwent 56 LAMS placement procedures. Previous treatment had failed in 39 patients (79.6 %), and anastomotic strictures were the indication in 77.6 % (38/49), with the most common site being gastrojejunal (34.7 % [17/49]). Technical success was achieved in all procedures and initial clinical success was achieved in 96.4 % of all procedures (54/56). Patient initial clinical success was 95.9 % (47/49). Stent migration occurred in 17.9 % of procedures, and was more likely to occur at sites in the lower GI tract (

conclusionLAMS placement was successful for the management of refractory GI strictures, with good technical and initial clinical success rates. However, re-intervention rates after LAMS removal were high, and many strictures were not resolved by an extended period of stenting with these coaxial stents. LAMS placement offers additional therapeutic options and in selected cases might be considered a destination therapy for patients with recalcitrant benign strictures.

Identifiers

PMID28924591
PMCPMC5595583
OpenAlexW2756289560

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.