Evidence map›Paper›PMID 34768456›Full record

ArticleJournal of clinical medicine2021

Short-Term Outcomes of Colorectal Stenting Using a Low Axial Force Self-Expandable Metal Stent for Malignant Colorectal Obstruction: A Japanese Multicenter Prospective Study.

Takashi Sasaki, Shuntaro Yoshida, Hiroyuki Isayama, Akiko Narita, Tomonori Yamada, Toshiyuki Enomoto, Yorinobu Sumida, Rika Kyo, Toshio Kuwai, Masafumi Tomita and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 14% 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, 14 citations in OpenAlex.

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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

14 authors at 11 institutions in 1 country.

Takashi SasakiDepartment of Hepato-Biliary-Pancreatic Medicine, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan.ORCID 0000-0001-7109-9835
Shuntaro YoshidaDepartment of Endoscopy and Endoscopic Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Hiroyuki IsayamaDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo 113-8431, Japan.ORCID 0000-0002-3308-9326
Akiko NaritaDepartment of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Tomonori YamadaDepartment of Gastroenterology, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, Aichi 466-8650, Japan.
Toshiyuki EnomotoDepartment of Surgery, Toho University Ohashi Medical Center, Tokyo 153-8515, Japan.
Yorinobu SumidaDepartment of Gastroenterology, National Hospital Organization, Kyushu Medical Center and Clinical Research Center, Fukuoka 810-8563, Japan.
Rika KyoDepartment of Gastroenterology, Saiseikai Yokohamashi Nanbu Hospital, Kanagawa 234-0054, Japan.
Toshio KuwaiDepartment of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Hiroshima 737-0023, Japan.
Masafumi TomitaDepartment of Surgery, Kobe Tokushukai Hospital, Hyogo 655-0017, Japan.
Rintaro MoroiDivision of Gastroenterology, Department of Internal Medicine, Graduate School of Medicine, Tohoku University, Miyagi 980-8574, Japan.
Mamoru ShimadaDepartment of Surgery, Toyonaka Keijinkai Hospital, Osaka 560-0004, Japan.
Nobuto HirataDepartment of Gastroenterology, Kameda Medical Center, Chiba 296-8602, Japan.
Yoshihisa SaidaDepartment of Surgery, Toho University Ohashi Medical Center, Tokyo 153-8515, Japan.
The University of Tokyo · JPToho University · JPFukuoka Tokushukai Hospital · JPJapanese Foundation For Cancer Research · JPJapanese Red Cross Nagoya Daini Hospital · JPJuntendo University · JPKameda Medical Center · JPNational Hospital Organization · JPNational Kyushu Medical Center · JPSaiseikai Ibaraki Hospital · JPTohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Endoscopic colorectal stenting with high technical success and safety is essential in discussing the oncological outcomes for the management of malignant colorectal obstruction. Mechanical properties of self-expandable metal stents are usually considered to affect clinical outcomes. (2) Methods: A multicenter, prospective study was conducted in Japan. A self-expandable metal stent with low axial force was inserted endoscopically. The primary endpoint was clinical success, defined as the resolution of symptoms and radiological findings within 24 h. Secondary endpoints were technical success and adverse events. Short-term outcomes of 7 days were evaluated in this study. (3) Results: Two hundred and five consecutive patients were enrolled. Three patients were excluded, and the remaining 202 patients were evaluated. The technical and clinical success rates were 97.5% and 96.0%, respectively. Major stent-related adverse events included stent migration (1.0%), insufficient stent expansion (0.5%), and stent occlusion (0.5%). No colonic perforation was observed. There were two fatal cases (1%) which were not related to stent placement. (4) Conclusions: The placement of self-expandable metal stents with low axial force is safe with no perforation and showed high technical and clinical success rates in short-term outcomes for the management of malignant colorectal obstruction.

Indexed as

axial forcemalignant colorectal obstructionsafetyself-expandable metal stent

Identifiers

PMID34768456
PMCPMC8585095
OpenAlexW3210670188

What OpenQuestion holds

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Registered trials

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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.