Evidence map›Paper›PMID 34427190›Full record

ArticleEndoscopic ultrasound

Technical feasibility and safety of one-step deployment of EUS-guided hepaticogastrostomy using an 8-mm diameter metal stent with a fine-gauge stent delivery system (with video).

Takeshi Ogura, Saori Ueno, Atsushi Okuda, Nobu Nishioka, Masanori Yamada, Jun Matsuno, Kazuya Ueshima, Yoshitaro Yamamoto, Kazuhide Higuchi

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Endoscopic ultrasound. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05169398 (EUS-guided Hepatico-gastrostomy Using a Novel Lumen Apposing Metal Stent), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.5field-weighted citation impact, top 10% 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.

NCT05169398 narecruitingnot on this map

EUS-guided Hepatico-gastrostomy Using a Novel Lumen Apposing Metal Stent

TypeinterventionalSponsorChinese University of Hong KongRan2022 to 2026Enrolled20ConditionsMalignant Biliary ObstructionArmsEUS-guided hepaticogastrostomy
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. EUS-guided hepaticogastrostomy: practical tips and tricks.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Biliary and pancreatic stents.iGIE : innovation, investigation and insights · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  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

9 authors at 1 institution in 1 country.

Takeshi Ogura2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.
Saori Ueno2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.
Atsushi Okuda2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.
Nobu Nishioka2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.
Masanori Yamada2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.
Jun Matsuno2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.
Kazuya Ueshima2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.
Yoshitaro Yamamoto2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.
Kazuhide Higuchi2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.
Osaka Medical and Pharmaceutical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesAdverse events (AEs) such as bile peritonitis or pneumoperitoneum might occur during procedural steps for EUS-guided hepaticogastrostomy (HGS), such as during device exchange and after fistula dilation until stent deployment. Reducing the steps to the EUS-HGS procedure might therefore be ideal to prevent the occurrence of AEs. Recently, a novel, fully covered self-expandable metal stent (FCSEMS) has become available. Because of the fine-gauge stent delivery system (5.9Fr), fistula dilation might not be needed before stent deployment during EUS-HGS. The aim of this pilot study was to evaluate the technical feasibility and safety of one-step EUS-HGS using a novel 8-mm diameter FCSEMS. PATIENTS AND

methodsThe primary outcome in this study was technical success, and the secondary outcomes were procedure- and stent-related AEs and clinical success. The technical success of one-step EUS-HGS was defined as successful FCSEMS deployment without any fistula dilation. Procedure time was measured from scope insertion to successful FCSEMS deployment.

resultsOne-step EUS-HGS using the novel FCSEMS was attempted on 14 patients. Technical success with a short procedure time (median: 7 min) and clinical success were obtained in all patients. In addition, procedure-related AEs such as bleeding, bile peritonitis, and stent migration during the procedure were not observed in any patients.

conclusionsOne-step EUS-HGS using the novel FCSEMS with a fine-gauge stent delivery system is technically feasible and shortens the procedure time with no requirement for additional fistula dilation, resulting in a potential reduction in procedure-related AEs.

Indexed as

ERCPEUS-guided biliary drainageEUS-guided hepaticogastrostomy

Identifiers

PMID34427190
PMCPMC8544008
OpenAlexW3193845192

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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.