Evidence map›Paper›PMID 36406962›Full record

ArticleAnnals of gastroenterology

Endoscopic ultrasonography-guided biliary drainage for malignant jaundice by using electrocautery-enhanced lumen-apposing metal stents (Hot-SPAXUS stent).

Raffaele Manta, Sabrina Torrisi, Danilo Castellani, Ugo Germani, Francesco P Zito, Olivia Morelli, Paolo M Brunori, Angelo Zullo, Vincenzo De Francesco

Open access · diamondAbstract read
In one paragraph

Article in Annals of gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. 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.

Raffaele MantaDigestive Endoscopy Unit, 'Santa Maria della Misericordia' Hospital, Perugia (Raffaele Manta, Sabrina Torrisi, Danilo Castellani, Ugo Germani, Olivia Morelli, Paolo M. Brunori).
Sabrina TorrisiDigestive Endoscopy Unit, 'Santa Maria della Misericordia' Hospital, Perugia (Raffaele Manta, Sabrina Torrisi, Danilo Castellani, Ugo Germani, Olivia Morelli, Paolo M. Brunori).
Danilo CastellaniDigestive Endoscopy Unit, 'Santa Maria della Misericordia' Hospital, Perugia (Raffaele Manta, Sabrina Torrisi, Danilo Castellani, Ugo Germani, Olivia Morelli, Paolo M. Brunori).
Ugo GermaniDigestive Endoscopy Unit, 'Santa Maria della Misericordia' Hospital, Perugia (Raffaele Manta, Sabrina Torrisi, Danilo Castellani, Ugo Germani, Olivia Morelli, Paolo M. Brunori).
Francesco P ZitoGastroenterology and Digestive Endoscopy Unit, AORN Cardarelli, Napoli (Francesco P. Zito).
Olivia MorelliDigestive Endoscopy Unit, 'Santa Maria della Misericordia' Hospital, Perugia (Raffaele Manta, Sabrina Torrisi, Danilo Castellani, Ugo Germani, Olivia Morelli, Paolo M. Brunori).
Paolo M BrunoriDigestive Endoscopy Unit, 'Santa Maria della Misericordia' Hospital, Perugia (Raffaele Manta, Sabrina Torrisi, Danilo Castellani, Ugo Germani, Olivia Morelli, Paolo M. Brunori).
Angelo ZulloGastroenterology, 'Nuovo Regina Margherita' Hospital, Rome (Angelo Zullo).
Vincenzo De FrancescoGastroenterology Unit, 'Riuniti' Hospital, Foggia (Vincenzo De Francesco), Italy.
Misericordia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Biliary drainage with endoscopic retrograde cholangiopancreatography (ERCP) for tumoral jaundice fails in a certain percentage of patients. In these patients, endoscopic ultrasonography-guided lumen-apposing metal stents (LAMS) with electrocautery-enhanced (ECE) technology allows a single-step, radiation-free palliative treatment. Methods: We reviewed the data of patients who underwent choledochoduodenostomy with placement of ECE-LAMS (Hot-SPAXUS stent) after ERCP failure in a single tertiary center. Technical and clinical success rates were calculated and adverse events recorded. Results: Data of 15 patients (8 male, median age 72 years) were collected. The procedure was technically successful in all patients, whilst clinical success was achieved in 14 (93.3%) patients. One (6.7%) patient presented delayed bleeding treated endoscopically. At follow up, stent occlusion with recurrence of jaundice occurred in 2 (13.3%) patients, due to food impaction (n=1), or neoplastic ingrowth (n=1). Conclusion: Our results suggest that the Hot-SPAXUS procedure is effective and safe for palliative treatment in patients with distal biliary malignant obstruction after failure of ERCP.

Indexed as

Biliary drainageelectrocautery-enhanced lumen-apposing metal stentsendoscopic ultrasonographyobstructive jaundice

Identifiers

PMID36406962
PMCPMC9648518
OpenAlexW4309670134

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.