Evidence map›Paper›PMID 29090243›Full record

ArticleEndoscopy international open2017

Feasibility of esophageal stent fixation with an over-the-scope-clip for malignant esophageal strictures to prevent migration.

Ko Watanabe, Takuto Hikichi, Jun Nakamura, Tadayuki Takagi, Rei Suzuki, Mitsuru Sugimoto, Yuichi Waragai, Hitomi Kikuchi, Naoki Konno, Hiroyuki Asama 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Ko WatanabeDepartment of Endoscopy, Fukushima Medical University Hospital, Fukushima, Japan.
Takuto HikichiDepartment of Endoscopy, Fukushima Medical University Hospital, Fukushima, Japan.
Jun NakamuraDepartment of Endoscopy, Fukushima Medical University Hospital, Fukushima, Japan.
Tadayuki TakagiDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Rei SuzukiDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Mitsuru SugimotoDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Yuichi WaragaiDepartment of Endoscopy, Fukushima Medical University Hospital, Fukushima, Japan.
Hitomi KikuchiDepartment of Endoscopy, Fukushima Medical University Hospital, Fukushima, Japan.
Naoki KonnoDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Hiroyuki AsamaDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Mika TakasumiDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Yuki SatoDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Katsutoshi ObaraDepartment of Advanced Gastrointestinal Endoscopy, Fukushima Medical University, Fukushima, Japan.
Hiromasa OhiraDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Fukushima Medical University · JPFukushima Medical University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND STUDY

aimsFixation of an esophageal self-expandable metal stent (SEMS) with an over-the-scope-clip (OTSC) system for a benign stricture to prevent migration has been reported. However, the efficacy of SEMS fixation with an OTSC for malignant esophageal stricture remains unclear. The aim of this retrospective study was to evaluate the feasibility of SEMS fixation with an OTSC for a malignant esophageal stricture. PATIENTS AND

methodsTwelve patients who underwent esophageal SEMS placement and fixation with an OTSC for a malignant esophageal stricture were included in this retrospective study. The primary endpoint was technical success. The secondary endpoint was clinical success, which was defined as an improvement of at least 1 grade in the dysphagia score 1 week after SEMS placement or changes in the dysphagia score from before SEMS placement to 1 week after SEMS placement.

resultsThe technical success rate was 100 %. The clinical success rate was 92.3 %. In 6 mild stricture cases in which a standard peroral endoscope could be used, no migration of the SEMS was observed. The median dysphagia score before and at 1 week after SEMS placement was 3 (range 2 - 4) and 0 (0 - 4), respectively, which indicated improvement at 1 week after SEMS placement compared with before SEMS placement (

conclusionsSEMS fixation with an OTSC is feasible for prevention of migration due to a malignant esophageal stricture.

Identifiers

PMID29090243
PMCPMC5658212
OpenAlexW2766407230

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.