Evidence map›Paper›PMID 38831212›Full record

ArticleSurgical endoscopy2024

Endoscopic ultrasound-guided gastrojejunostomy for benign gastric outlet obstruction (GOO): a retrospective analysis of patients and outcomes.

William F Abel, Youssef Y Soliman, Reid D Wasserman, Shravani Reddy, Ana Rosa Vilela Sangay, Klaus E Monkemuller, Varun Kesar, Paul Yeaton, Vivek Kesar

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Article in Surgical endoscopy, 2024. 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
–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.

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.

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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.

William F AbelDepartment of Internal Medicine, Virginia Tech Carilion, Roanoke, VA, USA. wfabel@carilionclinic.org.ORCID 0000-0001-8870-8692
Youssef Y SolimanDivision of Gastroenterology, Cancer Treatment Centers of America, Phoenix, AZ, USA.
Reid D WassermanDepartment of Internal Medicine, Virginia Tech Carilion, Roanoke, VA, USA.
Shravani ReddyDivision of Gastroenterology, Department of Internal Medicine, Virginia Tech Carilion, Roanoke, VA, USA.
Ana Rosa Vilela SangayDepartment of Internal Medicine, Eastern Virginia Medical School, Norfolk, VA, USA.
Klaus E MonkemullerDivision of Gastroenterology, Department of Internal Medicine, Virginia Tech Carilion, Roanoke, VA, USA.
Varun KesarDivision of Gastroenterology, Department of Internal Medicine, Virginia Tech Carilion, Roanoke, VA, USA.
Paul YeatonDivision of Gastroenterology, Department of Internal Medicine, Virginia Tech Carilion, Roanoke, VA, USA.
Vivek KesarDivision of Gastroenterology, Department of Internal Medicine, Virginia Tech Carilion, Roanoke, VA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND STUDY

aimsEndoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) has been well utilized in treating malignant gastric outlet obstructions (GOO) given its efficacy and lower risk profile compared to surgery. However, its efficacy and potential for use in patients with benign GOO who are poor surgical candidates is not well documented. The aim of this study was to examine the role of EUS-GJ in treatment of benign GOO in select patients. PATIENTS AND

methodsThis is a single-center, open-label, retrospective descriptive study that included all consecutive patients undergoing EUS-GJ to treat benign causes of GOO. Direct antegrade and direct retrograde methods were utilized.

resultsA total of 18 patients were included, 38.9% female with an average age of 63.3 years. Extrinsic GOO was present in (10 of 18) 55.5% of patients and intrinsic etiology was present in (8 of 18) 45.5% of patients. Technical success was achieved in 100% (18 of 18) patients and clinical success was achieved in 94% (17 of 18) patients. In total, 13 patients had follow-up endoscopy, 2 patients were treated relatively recently in time, 1 patient was lost to follow-up, and 2 patients died of other chronic illnesses. Stents remained in place for a median of 286 days (range 88-1444 days). In patients whose stents were removed, 75% (3 of 4) had extrinsic etiologies of GOO.

conclusionsThis study reports a favorable long-term patency with excellent technical and clinical success of EUS-GJ in patients with benign GOO. Despite the limitations of sample size and retrospective nature, it adds to the extremely limited literature of EUS-GJ in management of patients with benign GOO.

Indexed as

EndosonographyGastric BypassGastric Outlet ObstructionUltrasonography, InterventionalAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeEndoscopic ultrasoundEUSEUS-GEEUS-GJGastroenterostomyGastrojejunostomy

Identifiers

PMID38831212

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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.