Evidence map›Paper›PMID 30386609›Full record

ArticleUnited European gastroenterology journal2018

Novel lumen-apposing metal stent for the drainage of pancreatic fluid collections: An Italian multicentre experience.

Maria Chiara Petrone, Livia Archibugi, Edoardo Forti, Rita Conigliaro, Roberto Di Mitri, Ilaria Tarantino, Carlo Fabbri, Alberto Larghi, Sabrina Gloria Giulia Testoni, Massimiliano Mutignani and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in United European gastroenterology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.1field-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

7 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Advancements in the endoscopic treatment of pancreatic fluid collections.Chronic diseases and translational medicine · 2020
    Review
  6. Setting the stage for research in endoscopy.United European gastroenterology journal · 2019
    Article
  7. 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

11 authors at 7 institutions in 1 country.

Maria Chiara PetronePancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute IRCCS, Vita-Salute San Raffaele University, Milan, Italy.
Livia ArchibugiDigestive and Liver Disease Unit, Sant'Andrea Hospital, Sapienza University, Rome, Italy.
Edoardo FortiDiagnostic and Interventional Digestive Endoscopy, Niguarda Ca-Granda Hospital, Milan, Italy.
Rita ConigliaroGastroenterology and Digestive Endoscopy Unit, Ospedale S. Agostino-Estense Hospital, Modena, Italy.
Roberto Di MitriGastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli Hospital, Palermo, Italy.
Ilaria TarantinoDigestive Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, Palermo, Italy.
Carlo FabbriGastroenterology and Digestive Endoscopy Unit, AUSL Bologna, Bologna, Italy.
Alberto LarghiDigestive Endoscopy Unit, Catholic University, Rome, Italy.
Sabrina Gloria Giulia TestoniPancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute IRCCS, Vita-Salute San Raffaele University, Milan, Italy.
Massimiliano MutignaniDiagnostic and Interventional Digestive Endoscopy, Niguarda Ca-Granda Hospital, Milan, Italy.
Paolo Giorgio ArcidiaconoPancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute IRCCS, Vita-Salute San Raffaele University, Milan, Italy.
Vita-Salute San Raffaele University · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITAzienda di Rilievo Nazionale ed Alta Specializzazione · ITAzienda Ospedaliera Sant'Andrea · ITAzienda Unita' Sanitaria Locale Di Modena · ITIstituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic ultrasound (EUS)-guided drainage is the procedure of choice for pancreatic fluid collection (PFC) management. Recently developed lumen-apposing fully covered self-expandable metal stents (LAMSs) may facilitate drainage, especially of necrotic and complex PFCs.

objectiveTo evaluate the feasibility and efficacy of a newly developed LAMS (Nagi, Taiwong Medical Co. Ltd, South Korea) in the drainage of PFCs.

methodsRetrospective analysis of LAMS drainage of PFCs from seven centres. Patient demographic, EUS and radiological findings, PFCs aetiology, procedural technical and clinical success, and adverse events were evaluated.

resultsSixty-seven patients with mean age 58.8 ± 14 years (68.7% males) were included in the analysis. Of these, 44 patients had pseudocyst (PP) and 23 patients had walled-off pancreatic necrosis (WOPN). Technical success was achieved in 98.5% of cases and clinical success in 94%. The adverse event rate was 24.2%, higher and mostly due to stent migration and occlusion in the WOPN group as compared to the PP group, despite the time to stent removal being significantly lower in the WOPN group.

conclusionsPFC drainage using the Nagi stent is highly feasible and effective, with a relatively safe profile. Future studies enrolling more patients with complex PFCs are needed to clearly establish the role of this stent in PFC management.

Indexed as

EUS-guided drainagePancreatic fluid collectionpancreatitispseudocystwalled-off necrosis

Identifiers

PMID30386609
PMCPMC6206530
OpenAlexW2809149401

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.