Evidence map›Paper›PMID 37736486›Full record

ArticleTherapeutic advances in gastrointestinal endoscopy

Does a coaxial double pigtail stent reduce adverse events after lumen apposing metal stent placement for pancreatic fluid collections? A systematic review and meta-analysis.

Suprabhat Giri, Sidharth Harindranath, Shivaraj Afzalpurkar, Sumaswi Angadi, Sridhar Sundaram

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in gastrointestinal endoscopy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Lumen-apposing metal stents: A primer on indications and technical tips.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Review
  10. Article
  11. Article
  12. Infected pancreatic necrosis-Current trends in management.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Review
  13. Review
  14. 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

5 authors at 3 institutions in 1 country.

Suprabhat GiriDepartment of Gastroenterology, Nizam's Institute of Medical Sciences, Hyderabad, India.ORCID https://orcid.org/0000-0002-9626-5243
Sidharth HarindranathDepartment of Gastroenterology, Seth GS Medical College and KEM Hospital, Mumbai, India.
Shivaraj AfzalpurkarDepartment of Gastroenterology, Nanjappa Multispecialty Hospital, Davangere, India.
Sumaswi AngadiDepartment of Gastroenterology, Nizam's Institute of Medical Sciences, Hyderabad, India.
Sridhar SundaramDepartment of Digestive Diseases and Clinical Nutrition, Tata Memorial Hospital, Homi Bhabha National Institute, Room No. 1004, Homi Bhabha Block, Mumbai, Maharashtra 400012, India.
Nizam's Institute of Medical Sciences · INHomi Bhabha National Institute · INKing Edward Memorial Hospital and Seth G.S. Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lumen apposing metal stents (LAMSs) have a higher clinical success rate for managing pancreatic fluid collections. But they are associated with adverse events (AEs) like bleeding, migration, buried stent, occlusion, and infection. It has been hypothesized that placing a double pigtail stent (DPS) within LAMS may mitigate these AEs. The present systematic review and meta-analysis were conducted to compare the outcome and AEs associated with LAMS with or without a coaxial DPS (LAMS-DPS). Methods: A comprehensive literature search of three databases from January 2010 to August 2022 was conducted for studies comparing the outcome and AEs of LAMS alone and LAMS-DPS. Pooled incidence and risk ratios (RRs) with 95% confidence intervals (CIs) were calculated for all the dichotomous outcomes. Results: Overall, eight studies ( Conclusion: The present meta-analysis shows that coaxial DPS within LAMS may not reduce AE rates or improve clinical outcomes. Further larger studies, including patients with walled-off necrosis, are required to demonstrate the benefit of coaxial DPS within LAMS.

Indexed as

cystogastrostomylumen apposing metal stentsmeta-analysispancreatic fluid collectionswalled-off necrosis

Identifiers

PMID37736486
PMCPMC10510348
OpenAlexW4386870828

What OpenQuestion holds

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LicenceCC BY-NC
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.