Evidence map›Paper›PMID 31286746›Full record

ReviewClinical endoscopy2020

Role of Cardiac Septal Occluders in the Treatment of Gastrointestinal Fistulas: A Systematic Review.

Diogo Turiani Hourneaux De Moura, Alberto Baptista, Pichamol Jirapinyo, Eduardo Guimarães Hourneaux De Moura, Christopher Thompson

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Clinical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
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

24 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Endoscopic closure of esophageal, gastric, jejunal, and rectopelvic fistulas with cardiac septal occluder devices: a case series.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025
    Review
  7. Article
  8. Article
  9. Endoscopic closure of a recto-pelvic fistula with a cardiac septal occluder device.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024
    Article
  10. Catheter-based deployment of vascular plugs for the management of challenging gastric fistulae.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2023
    Article
  11. Article
  12. Cardiac Septal Occluder for Refractory Anastamotic Leak.Journal of the Canadian Association of Gastroenterology · 2023
    Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  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 4 institutions in 3 countries.

Diogo Turiani Hourneaux De MouraBrigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Alberto BaptistaHospital das Clínicas Caracas, Unidad de Exploraciones Digestivas, Caracas, Venezuela.
Pichamol JirapinyoBrigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Eduardo Guimarães Hourneaux De MouraHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
Christopher ThompsonBrigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRBrigham and Women's Hospital · USHarvard University · USHospital Clínico Universitario de Caracas · VE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treating gastrointestinal (GI) fistulas endoscopically is challenging owing to an established epithelial tract. The variety of endoscopic approaches is transforming endoscopy into a first-line therapy. However, many sessions are often required, with variable success rates. Owing to these limitations, the off-label use of cardiac septal occluders (CSOs) has been reported. We searched for articles related to CSOs in the MEDLINE, EMBASE, Cochrane Library, and LILACS databases and gray literature. The primary outcomes included technical success, clinical success, and safety of CSOs in GI fistula management. A total of 25,574 records were identified, and 19 studies ultimately satisfied the inclusion criteria. Technical success was achieved in all cases. Of the 22 fistulas, 77.27% had successful closure, with a mean follow-up period of 32.02 weeks. The adverse event rate was 22.72%, with no associated mortality. Univariable and multivariable regression analyses showed no significant difference in the success of closure and adverse events in relation to several variables among the subgroups. The use of CSOs appeared to be technically feasible, effective, and safe in the treatment of GI fistulas. The satisfactory results derived from this sparse literature suggest that it can be an option in the management of GI fistulas.

Indexed as

Cardiac septal occluderEndoscopyFistulaGastrointestinal fistula

Identifiers

PMID31286746
PMCPMC7003006
OpenAlexW2959318335

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.