Evidence map›Paper›PMID 36769545›Full record

ReviewJournal of clinical medicine2023

Suprapapillary Biliary Stents Have Longer Patency Times than Transpapillary Stents-A Systematic Review and Meta-Analysis.

Norbert Kovács, Dániel Pécsi, Zoltán Sipos, Nelli Farkas, Mária Földi, Péter Hegyi, Judit Bajor, Bálint Erőss, Katalin Márta, Alexandra Mikó and 4 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07325877 (Supra-papillary Versus Trans-papillary Biliary Stenting in Malignant Peri-hilar Stenosis), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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.

NCT07325877 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Supra-papillary Versus Trans-papillary Biliary Stenting in Malignant Peri-hilar Stenosis (SupraBilS): a Randomized Controlled Trial

TypeinterventionalSponsorAzienda Ospedaliera Universitaria Integrata VeronaRan2026 to 2029Enrolled70ConditionsBiliary Disease Tract, Biliary Stenosis, Biliary StentsArmsERCP with suprapapillary stent placement, ERCP with transpapillary stent placement
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. 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

14 authors.

Norbert KovácsDoctoral School of Clinical Medicine, University of Szeged, 6720 Szeged, Hungary.ORCID 0000-0002-8532-5191
Dániel PécsiInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.ORCID 0000-0003-0499-6004
Zoltán SiposInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Nelli FarkasInstitute of Bioanalysis, Medical School, University of Pécs, 7624 Pécs, Hungary.
Mária FöldiDoctoral School of Clinical Medicine, University of Szeged, 6720 Szeged, Hungary.
Péter HegyiInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Judit BajorDivision of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Bálint ErőssInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Katalin MártaInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.ORCID 0000-0002-2213-4865
Alexandra MikóInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Zoltán RakonczayDepartment of Pathophysiology, University of Szeged, 6720 Szeged, Hungary.ORCID 0000-0002-1499-3416
Patrícia SarlósDivision of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Szabolcs ÁbrahámDepartment of Surgery, Szent-Györgyi Albert Medical and Pharmaceutical Centre, University of Szeged, 6720 Szeged, Hungary.
Áron VinczeDivision of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.ORCID 0000-0003-2217-7686

Funding

Economic Development and Innovation Operational Programme Grant GINOP-2.3.2-15-2016-00048Economic Development and Innovation Operational Programme Grant GINOP-2.3.4-15-2020-00010Human Resources Development Operational Programme Grant EFOP-3.6.1.-16-2016-00004
6 · The paper itself

Abstract

BACKGROUND AND STUDY

aimsEndoscopic biliary stent placement is a minimally invasive intervention for patients with biliary strictures. Stent patency and function time are crucial factors. Suprapapillary versus transpapillary stent positioning may contribute to stent function time, so a meta-analysis was performed in this comparison.

methodsA comprehensive literature search was conducted in the CENTRAL, Embase, and MEDLINE databases to find data on suprapapillary stent placement compared to the transpapillary method via endoscopic retrograde cholangiopancreatography in cases of biliary stenosis of any etiology and any stent type until December 2020. We carried out a meta-analysis focusing on the following outcomes: stent patency, stent migration, rate of cholangitis and pancreatitis, and other reported complications.

resultsThree prospective and ten retrospective studies involving 1028 patients were included. Suprapapillary stent placement appeared to be superior to transpapillary stent positioning in patency (weighted mean difference = 50.23 days, 95% CI: 8.56, 91.98;

conclusionsBased on our results, suprapapillary biliary stenting has longer stent patency. Moreover, the stent migration rate did not differ between the suprapapillary and transpapillary groups.

Indexed as

endoscopyERCPinsideintraductalstent

Identifiers

PMID36769545
PMCPMC9917857

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.