Evidence map›Paper›PMID 36869171›Full record

SynthesisWorld journal of surgery2023

A Meta-Analysis of Endoscopic Stenting Versus Surgical Treatment for Malignant Gastric Outlet Obstruction.

Lorenzo Del Nero, Afscin Djahandideh Sheijani, Antonella De Ceglie, Marco Bruzzone, Marcello Ceppi, Rosa Angela Filiberti, Peter Siersema, Massimo Conio

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 4 citations in OpenAlex.

  1. Endoscopic ultrasound-guided gastroenterostomy for the treatment of malignant gastric outlet obstruction in a 3-year-old boy.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

8 authors at 4 institutions in 2 countries.

Lorenzo Del NeroGastroenterology Department, Santa Corona Hospital, ASL 2 Savonese, Viale 25 Aprile, 38, 17027, Pietra Ligure, SV, Italy. Lorenzo.delnero1@gmail.com.ORCID 0000-0002-5624-1204
Afscin Djahandideh SheijaniGastroenterology Department, Santa Corona Hospital, ASL 2 Savonese, Viale 25 Aprile, 38, 17027, Pietra Ligure, SV, Italy.
Antonella De CeglieGastroenterology Department, Sanremo General Hospital, ASL1 Imperiese, Sanremo, IM, Italy.
Marco BruzzoneClinical Epidemiology Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Marcello CeppiClinical Epidemiology Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Rosa Angela FilibertiClinical Epidemiology Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Peter SiersemaGastroenterology Department, Santa Corona Hospital, ASL 2 Savonese, Viale 25 Aprile, 38, 17027, Pietra Ligure, SV, Italy.
Massimo ConioGastroenterology Department, Santa Corona Hospital, ASL 2 Savonese, Viale 25 Aprile, 38, 17027, Pietra Ligure, SV, Italy.
Azienda Sanitaria Locale N. 2 Savonese · ITOspedale Policlinico San Martino · ITOspedale di Sanremo · ITRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimSurgical gastrojejunostomy (GJJ) and endoscopic stenting (ES) are the two most available treatments for palliation of malignant gastric obstruction (MGOO). The aim of this study is to compare these two techniques regarding efficacy, safety, time of hospitalization and survival.

methodsWe performed a literature search from January 2010 to September 2020 to identify available randomized controlled studies and observational studies that compared ES and GJJ for the treatment of MGOO.

resultsA total of 17 studies were found. ES and GJJ showed similar technical and clinical success rate. ES was superior to obtain early oral re-feeding, shorter length of hospitalization and a lower incidence of complications than GJJ. Surgical palliation had a lower recurrence rate of obstructive symptoms and longer overall survival than ES.

conclusionsBoth procedures have advantages and disadvantages. Probably we should not find the best palliation but the best approach based on the patient characteristics and tumor type.

Indexed as

Gastric BypassGastric Outlet ObstructionGastroscopyHumansPalliative CareRetrospective StudiesStentsTreatment Outcome

Identifiers

PMID36869171
OpenAlexW4323031647

What OpenQuestion holds

Textmetadata
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.