Evidence map›Paper›PMID 29238101›Full record

ArticleNagoya journal of medical science2017

Feasibility of the unilateral-flange stent for the treatment of benign pancreatic duct stricture: a pilot study.

Patommatat Bhanthumkomol, Kazuo Hara, Nobumasa Mizuno, Susumu Hijioka, Nozomi Okuno, Tsukasa Yoshida, Junya Tokuhisa, Sith Siramolpiwat, Ratha-Korn Vilaichone, Bubpha Pornthisarn and 6 more

Abstract read
In one paragraph

Article in Nagoya journal of medical science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 72% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

16 authors at 2 institutions in 2 countries.

Patommatat BhanthumkomolGastroenterology Unit, Thammasat University Hospital, Pathumthani, Thailand.
Kazuo HaraDepartment of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan.
Nobumasa MizunoDepartment of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan.
Susumu HijiokaDepartment of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan.
Nozomi OkunoDepartment of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan.
Tsukasa YoshidaDepartment of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan.
Junya TokuhisaDepartment of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan.
Sith SiramolpiwatGastroenterology Unit, Thammasat University Hospital, Pathumthani, Thailand.
Ratha-Korn VilaichoneGastroenterology Unit, Thammasat University Hospital, Pathumthani, Thailand.
Bubpha PornthisarnGastroenterology Unit, Thammasat University Hospital, Pathumthani, Thailand.
Yasumasa NiwaDepartment of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
Masahiro TajikaDepartment of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
Tsutomu TanakaDepartment of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
Makoto IshiharaDepartment of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
Yutaka HirayamaDepartment of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
Kenji YamaoDepartment of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan.
Aichi Cancer Center · JPThammasat University Hospital · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endoscopic placement of the plastic stent has been adopted as an initial treatment for chronic pancreatitis with pancreatic duct stricture. Stent fracture while attempting removal is one of the complications of stent exchange. The use of the unilateral-flange stent in these patients has never been reported. We investigated the outcomes associated with the use of this stent with regard to stent exchange and stent-related adverse events. From 2011 to 2015, 9 patients with chronic pancreatitis and main pancreatic duct (MPD) stricture treated with the unilateral-flange stent were included. Eleven endoscopic treatment sessions, 53 endoscopic stent deployments or exchange procedures were analyzed. Technical success rate was 100%. Forty-eight stents were exchanged on a regular basis in 1 to 6-month intervals. Another 5 stent exchange procedures were urgently performed due to stent obstruction and caused pancreatitis (n=2), symptomatic external stent migration (n=2), and concurrent cholangitis (n=1). The rate of symptomatic migration was 3.7%. The mean duration for stent exchange was 29 minutes and no stent fracture occurred during the procedure. Of 11 endoscopic treatment sessions, 7 were successful, 3 were changed to the metallic stents, and 1 was lost to follow-up. According to this study, unilateral-flange stent placement for benign MPD stricture is technically feasible and effective. Stent removal during the exchange period is unchallenging and without stent fracture.

Indexed as

StentsAdultAgedCholangiopancreatography, Endoscopic RetrogradeFemaleHumansMaleMiddle AgedPancreatic DuctsPancreatitis, ChronicRetrospective Studieschronic pancreatitisendoscopic retrograde cholangiopancreatographypancreatic ductsstentsstricture

Identifiers

PMID29238101
PMCPMC5719204
OpenAlexW2775634083

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.