Evidence map›Paper›PMID 36717426›Full record

SynthesisSurgical endoscopy2023

Efficacy of endoscopic over-the-scope clip fixation for preventing migration of self-expandable metal stents: a systematic review and meta-analysis.

Anuraag Jena, Sanjay Chandnani, Shubham Jain, Vishal Sharma, Pravin Rathi

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06725563 (Endoscopically Placed Lumen-Apposing Metal Stents as a Safe Alternative to Surgery for the Treatment of Symptomatic Intestinal Strictures in Individuals With Inflammatory Bowel Disease), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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.

NCT06725563 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Endoscopically Placed Lumen-Apposing Metal Stents as a Safe Alternative to Surgery for the Treatment of Symptomatic Intestinal Strictures in Individuals With Inflammatory Bowel Disease

TypeinterventionalSponsorOttawa Hospital Research InstituteRan2025 to 2026Enrolled20ConditionsInflammatory Bowel Diseases, Stricture, BowelArmsEndoscopically placed lumen-apposing metal stents for the treatment of IBD-strictures
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. [Endoscopic Treatments in Perforation or Fistula in Upper Gastrointestinal Tract].The Korean journal of helicobacter and upper gastrointestinal research · 2024
    Review
  12. Suspension of Esophageal Stent: An Endoscopic Technique for the Treatment of Esophagopleural Fistula.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024
    Article
  13. Article
  14. Review
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.

Anuraag JenaDepartment of Gastroenterology, Topiwala National Medical College and B.Y.L.Nair Hospital, Dr. A. L. Nair Road, Mumbai Central (East), Mumbai, Maharashtra, 400008, India. anuraag2destiny@gmail.com.ORCID 0000-0001-9074-6698
Sanjay ChandnaniDepartment of Gastroenterology, Topiwala National Medical College and B.Y.L.Nair Hospital, Dr. A. L. Nair Road, Mumbai Central (East), Mumbai, Maharashtra, 400008, India.
Shubham JainDepartment of Gastroenterology, Topiwala National Medical College and B.Y.L.Nair Hospital, Dr. A. L. Nair Road, Mumbai Central (East), Mumbai, Maharashtra, 400008, India.
Vishal SharmaDepartment of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Pravin RathiDepartment of Gastroenterology, Topiwala National Medical College and B.Y.L.Nair Hospital, Dr. A. L. Nair Road, Mumbai Central (East), Mumbai, Maharashtra, 400008, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOver-the-scope clips (OTSC), both conventional and Stentfix, are believed to anchor the self-expanding metal (SEMS) and prevent migration. We aimed to systematically study the efficacy of endoscopic OTSC fixation of SEMS in prevention of migration.

methodsWe searched electronic databases from inception to November 11, 2022 to identify studies reporting outcomes of OTSC fixation of metal stents. The primary outcome was to calculate the pooled migration rates following OTSC anchorage of SEMS and to compare it with controls (SEMS without any fixation). The secondary outcomes include technical and clinical success of OTSC anchorage of SEMS. Random effect models were used to determine pooled rates of migration and technical as well as clinical success rates of OTSC anchorage of metal stents.

resultsA total of 9 studies were included. The pooled rate of migration following OTSC anchorage of SEMS was 0.10 (95%CI, 0.04-0.20, I

conclusionsThe use of OTSC clips (conventional or Stentfix) for anchorage had a lower risk of migration of metal stents than no fixation. Future studies should look into prospective multicenter studies on their use to prevent the migration of SEMS.

Indexed as

Self Expandable Metallic StentsEsophagoscopyHumansProspective StudiesRetrospective StudiesStentsTreatment OutcomeEsophageal leakFCSEMSFistulaFully covered stentsOTSCPerforation

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.