Evidence map›Paper›PMID 31254212›Full record

ArticleObesity surgery2019

Safety and Efficacy of Endoscopically Secured Fully Covered Self-Expandable Metallic Stents (FCSEMS) for Post-Bariatric Complex Stenosis.

Lea Fayad, Cem Simsek, Roberto Oleas, Yervant Ichkhanian, Georges E Fayad, Saowanee Ngamreungphong, Michael Schweitzer, Andreas Oberbach, Anthony N Kalloo, Mouen A Khashab and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Modified gastric peroral endoscopic myotomy for helical stenosis after sleeve gastrectomy.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. 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

11 authors at 1 institution in 1 country.

Lea FayadDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Cem SimsekDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Roberto OleasDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Yervant IchkhanianDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Georges E FayadDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Saowanee NgamreungphongDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Michael SchweitzerDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Andreas OberbachDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Anthony N KallooDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Mouen A KhashabDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Vivek KumbhariDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, MD, USA. vkumbhari@gmail.com.ORCID http://orcid.org/0000-0002-7772-9006
Johns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of fully covered self-expandable metallic stents (FCSEMS) has opened the door to treat stenosis in the post-bariatric stomach. We hypothesized that endoscopically securing a FCSEMS would be technically feasible, effective, and safe for > 30-day dwell time.

objectivesTo assess the technical feasibility, clinical efficacy, and safety of endoscopically secured FCSEMS in the stomach for > 30 days.

methodsA retrospective review (September 2016 to April 2018) of consecutive patients who underwent FCSEMS suturing in the stomach at a single academic institution was reviewed. Technical success, stent dwell time, symptoms, and adverse events were recorded.

resultsFifteen patients (median age of 49 (31-70)) were included. Stents were inserted for gastrojejunal (GJ) stricture or gastric stenosis in 9/15 and 6/15 of patients, respectively. All procedures were technically successful (100%). Immediate and short-term clinical success (prior to stent removal) was 100% in patients who did not have stent migration. Stent migration was seen in 3 cases (20%) after a median dwell time of 211 days. However, 2/3 (66.6%) had not attended their scheduled removal. Recurrence of symptoms after stent removal was seen in 53.3% of patients with 40% undergoing repeat stenting. Median stent dwell was 117 (30-342) days. Sixty percent and 33% of patients had stent dwell of at least 90 and 180 days, respectively.

conclusionsA FCSEMS, if secured, may be safe and effective for even > 90-day dwell time in the post-bariatric stomach and may result in long-term clinical success for GJ stricture after stent removal.

Indexed as

Endoscopy, GastrointestinalProsthesis ImplantationSelf Expandable Metallic StentsAdultAgedBariatric SurgeryConstriction, PathologicDevice RemovalEquipment DesignFemaleHumansMaleMiddle AgedObesity, MorbidPostoperative ComplicationsRecurrenceEndoscopic suturingFully covered self-expandable metallic stentsLaparoscopic sleeve gastrectomyRoux-en-Y gastric bypassSleeve stenosis

Identifiers

PMID31254212
OpenAlexW2954245351

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.