Evidence map›Paper›PMID 36217058›Full record

ArticleSurgical endoscopy2023

Endoscopic ultrasound guided gastrojejunostomy in the treatment of gastric outlet obstruction: multi-centre experience from the United Kingdom.

Wei On, Matthew T Huggett, Alistair Young, James Pine, Andrew M Smith, Nadeem Tehami, Ben Maher, Stephen P Pereira, Gavin Johnson, Bharat Paranandi

Open access · hybridFull text read
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In one paragraph

Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  5. Observational
  6. Endoscopic ultrasound-guided gastroenterostomy: a review.Translational gastroenterology and hepatology · 2025
    Review
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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

10 authors at 3 institutions in 1 country.

Wei OnDepartment of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Matthew T HuggettDepartment of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Alistair YoungDepartment of Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
James PineDepartment of Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Andrew M SmithDepartment of Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Nadeem TehamiDepartment of Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Ben MaherDepartment of Interventional Radiology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Stephen P PereiraDepartment of Gastroenterology, University College Hospitals NHS Foundation Trust, London, UK.
Gavin JohnsonDepartment of Gastroenterology, University College Hospitals NHS Foundation Trust, London, UK.
Bharat ParanandiDepartment of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK. b.paranandi@nhs.net.ORCID http://orcid.org/0000-0001-9429-2718
Leeds Teaching Hospitals NHS Trust · GBUniversity College Hospital · GBUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic ultrasound guided gastrojejunostomy (EUS-GJ) with lumen apposing metal stents has recently emerged as a viable option, as an alternative to surgical gastrojejunostomy and endoscopic enteral stenting, for managing gastric outlet obstruction (GOO). We aim to perform a retrospective analysis of the efficacy, safety and outcomes of EUS-GJ performed at three tertiary institutions in the United Kingdom.

methodsConsecutive patients who underwent EUS-GJ between August 2018 and March 2021 were identified from a prospectively maintained database. Data were obtained from interrogation of electronic health records.

resultsTwenty five patients (15 males) with a median age of 63 years old (range 29-80) were included for analysis. 88% (22/25) of patients had GOO due to underlying malignant disease. All patients were deemed surgically inoperable or at high surgical risk. Both technical and clinical success were achieved in 92% (23/25) of patients. There was an improvement in the mean Gastric Outlet Obstruction Scoring System scores following a technically successful EUS-GJ (2.52 vs 0.68, p < 0.01). Adverse events occurred in 2/25 patients (8%), both due to stent maldeployment necessitating endoscopic closure of the gastric defect with clips. Long-term follow-up data were available for 21 of 23 patients and the re-intervention rate was 4.8% (1/21) over a median follow-up period of 162 (range 5-474) days.

conclusionEUS-GJ in carefully selected patients is an effective and safe procedure when performed by experienced endoscopists.

Indexed as

Gastric BypassGastric Outlet ObstructionAdultAgedAged, 80 and overHumansMaleMiddle AgedRetrospective StudiesStentsTreatment OutcomeUltrasonography, InterventionalUnited KingdomEndoscopic ultrasoundGastric outlet obstructionGastrojejunostomyInterventional endoscopy

Identifiers

PMID36217058
PMCPMC10017786
OpenAlexW4304091877

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read53
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.