Evidence map›Paper›PMID 29760541›Full record

SynthesisWorld journal of gastroenterology2018

Laparoscopic gastrojejunostomy for gastric outlet obstruction in patients with unresectable hepatopancreatobiliary cancers: A personal series and systematic review of the literature.

Alba Manuel-Vázquez, Raquel Latorre-Fragua, Carmen Ramiro-Pérez, Aylhin López-Marcano, Roberto De la Plaza-Llamas, José Manuel Ramia

Open access · bronzeAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in World journal of gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  7. Reverse endoscopic ultrasound-guided neogastrojejunostomy.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025
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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

6 authors at 1 institution in 1 country.

Alba Manuel-VázquezDepartment of General and Digestive Surgery, University Hospital of Guadalajara, Guadalajara 19002, Spain. alba_manuel_vazquez@hotmail.com.
Raquel Latorre-FraguaDepartment of General and Digestive Surgery, University Hospital of Guadalajara, Guadalajara 19002, Spain.
Carmen Ramiro-PérezDepartment of General and Digestive Surgery, University Hospital of Guadalajara, Guadalajara 19002, Spain.
Aylhin López-MarcanoDepartment of General and Digestive Surgery, University Hospital of Guadalajara, Guadalajara 19002, Spain.
Roberto De la Plaza-LlamasDepartment of General and Digestive Surgery, University Hospital of Guadalajara, Guadalajara 19002, Spain.
José Manuel RamiaDepartment of General and Digestive Surgery, University Hospital of Guadalajara, Guadalajara 19002, Spain.
Hospital Universitario de Guadalajara · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The major symptoms of advanced hepatopancreatic-biliary cancer are biliary obstruction, pain and gastric outlet obstruction (GOO). For obstructive jaundice, surgical treatment should de consider in recurrent stent complications. The role of surgery for pain relief is marginal nowadays. On the last, there is no consensus for treatment of malignant GOO. Endoscopic duodenal stents are associated with shorter length of stay and faster relief to oral intake with more recurrent symptoms. Surgical gastrojejunostomy shows better long-term results and lower re-intervention rates, but there are limited data about laparoscopic approach. We performed a systematic review of the literature, according PRISMA guidelines, to search for articles on laparoscopic gastrojejunostomy for malignant GOO treatment. We also report our personal series, from 2009 to 2017. A review of the literature suggests that there is no standardized surgical technique either standardized outcomes to report. Most of the studies are case series, so level of evidence is low. Decision-making must consider medical condition, nutritional status, quality of life and life expectancy. Evaluation of the patient and multidisciplinary expertise are required to select appropriate approach. Given the limited studies and the difficulty to perform prospective controlled trials, no study can answer all the complexities of malignant GOO and more outcome data is needed.

Indexed as

Biliary Tract NeoplasmsGastric BypassGastric Outlet ObstructionHumansJaundice, ObstructiveLaparoscopyPalliative CarePancreatic NeoplasmsPatient SelectionQuality of LifeStentsStomach NeoplasmsTreatment OutcomeDuodenal obstructionGastric bypassGastric outlet obstructionGastroenterosmyGastrojejunostomyLaparoscopic surgeryLaparoscopySytematic review

Identifiers

PMID29760541
PMCPMC5949711
OpenAlexW2802363200

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.