Evidence map›Paper›PMID 29850458›Full record

SynthesisCanadian journal of gastroenterology & hepatology2018

Efficacy and Safety of Lumen Apposing Self-Expandable Metal Stents for EUS Guided Cholecystostomy: A Meta-Analysis and Systematic Review.

Nikhil R Kalva, Vishwas Vanar, David Forcione, Matthew L Bechtold, Srinivas Reddy Puli

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Canadian journal of gastroenterology & hepatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Outcomes of endoscopic ultrasound-guided gallbladder drainage: A multicenter study from India (with video).Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Article
  6. Review
  7. Comparison of trans-gastricWorld journal of gastrointestinal endoscopy · 2023
    Article
  8. Review
  9. Endoscopic Ultrasound-Guided Gallbladder Drainage.Digestive diseases and sciences · 2021
    Review
  10. Review
  11. Endoscopy in surgery.Turkish journal of surgery · 2021
    Article
  12. Article
  13. Review
  14. EUS guided gallbladder drainage.Translational gastroenterology and hepatology · 2020
    Review
  15. Article
  16. Article
  17. Review
  18. Endoscopic Methods for Gallbladder Drainage.Current treatment options in gastroenterology · 2019
    Review
  19. Comprehensive review on EUS-guided biliary drainage.World journal of gastrointestinal endoscopy · 2019
    Review
  20. Article
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

5 authors at 3 institutions in 1 country.

Nikhil R KalvaInternal Medicine, University of Illinois College of Medicine at Peoria, Peoria, IL, USA.ORCID 0000-0003-0444-367X
Vishwas VanarInternal Medicine, University of Illinois College of Medicine at Peoria, Peoria, IL, USA.
David ForcioneInterventional Endoscopy Services, Gastrointestinal Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Matthew L BechtoldDivision of Gastroenterology and Hepatology, University of Missouri-Columbia, Columbia, MO, USA.ORCID 0000-0002-0205-3400
Srinivas Reddy PuliInternal Medicine, University of Illinois College of Medicine at Peoria, Peoria, IL, USA.ORCID 0000-0001-7650-6938
Illinois College · USHarvard University · USUniversity of Missouri · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with acute cholecystitis are treated with early cholecystectomy. A subset of patients are unfit for surgery due to comorbidities and late presentation. Prompt gall bladder drainage (GBD) with percutaneous or endoscopic approach remains a viable therapeutic option for nonoperative candidates. Endoscopic ultrasound (EUS) guided transluminal gall bladder drainage (EUS-GBD) continues to evolve as an alternative approach to percutaneous drainage. With continued refinement in stent technology, lumen apposing self-expandable metal stent (LAMS) offers several advantages. We performed a pooled analysis on the efficacy and safety of EUS-GBD with LAMS in nonoperative candidates with acute cholecystitis. Methods: Extensive English language literature search was performed in Medline, Embase, Cochrane Central, and Google Scholar using keywords "endoscopic ultrasound", "stent", "gallbladder", "acute cholecystitis", and "cholecystostomy" from Jan 2000 to Dec 2016. Fixed and random effects models were used to calculate the pooled proportions. Results: Data was extracted from 13 studies that met the inclusion criteria ( Conclusions: EUS-GBD with LAMS is a safe and alternative treatment modality for patients needing gallbladder drainage, with acceptable intraprocedural and postprocedural complications. However, due to the limited data and lack of direct comparison with other methods, further controlled trials are necessary to estimate the overall efficacy and safety and the role of EUS-GBD with LAMS in management of nonoperative patients with acute cholecystitis.

Indexed as

Self Expandable Metallic StentsCholecystitisCholecystostomyDrainageEndosonographyHumansTreatment OutcomeUltrasonography, Interventional

Identifiers

PMID29850458
PMCPMC5925026
OpenAlexW2797479474

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.