Evidence map›Paper›PMID 38974085›Full record

ArticleAnnals of gastroenterology

Efficacy of different stent types in post-liver-transplant anastomotic biliary strictures: a systematic review and meta-analysis.

Apostolis Papaefthymiou, Daryl Ramai, Marcello Maida, Georgios Tziatzios, Antonio Facciorusso, Konstantinos Triantafyllou, Marianna Arvanitakis, Gavin Johnson, Simon Phillpotts, George Webster and 1 more

Abstract read
In one paragraph

Article in Annals of gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. 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

11 authors.

Apostolis PapaefthymiouPancreatobiliary Unit, University College London Hospitals, London, United Kingdom (Apostolis Papaefthymiou, Gavin Johnson, Simon Phillpotts, George Webster).
Daryl RamaiGastroenterology and Hepatology, University of Utah Health, Salt Lake City, UT, USA (Daryl Ramai).
Marcello MaidaGastroenterology and Endoscopy Unit, S. Elia-Raimondi Hospital, Caltanissetta, Italy (Marcello Maida).
Georgios TziatziosDepartment of Gastroenterology, "Konstantopoulio-Patision" General Hospital of Nea Ionia, Athens, Greece (Georgios Tziatzios, Paraskevas Gkolfakis).
Antonio FacciorussoGastroenterology Unit, Department of Surgical and Medical Sciences, University of Foggia, Italy (Antonio Facciorusso).
Konstantinos TriantafyllouHepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutics, Medical School, National and Kapodistrian University of Athens, Greece (Konstantinos Triantafyllou).
Marianna ArvanitakisDepartment of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme University Hospital, ULB, Brussels, Belgium (Marianna Arvanitakis, Paraskevas Gkolfakis).
Gavin JohnsonPancreatobiliary Unit, University College London Hospitals, London, United Kingdom (Apostolis Papaefthymiou, Gavin Johnson, Simon Phillpotts, George Webster).
Simon PhillpottsPancreatobiliary Unit, University College London Hospitals, London, United Kingdom (Apostolis Papaefthymiou, Gavin Johnson, Simon Phillpotts, George Webster).
George WebsterPancreatobiliary Unit, University College London Hospitals, London, United Kingdom (Apostolis Papaefthymiou, Gavin Johnson, Simon Phillpotts, George Webster).
Paraskevas GkolfakisDepartment of Gastroenterology, "Konstantopoulio-Patision" General Hospital of Nea Ionia, Athens, Greece (Georgios Tziatzios, Paraskevas Gkolfakis).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Stent selection in the endoscopic management of post-liver-transplant anastomotic biliary strictures remains controversial. This systematic review and meta-analysis aimed to evaluate the potential differences between available stents. Methods: MEDLINE, Cochrane, and Scopus databases were searched until April 2023 for comparative studies evaluating stricture management using multiple plastic stents (MPS) and self-expandable metal stents (SEMS), including fully-covered (FC)- and intraductal (ID)-SEMS. The primary outcome was stricture resolution, while secondary outcomes included stricture recurrence, stent migration and adverse events. Meta-analyses were based on a random-effects model and the results were reported as odds ratios (OR) with 95% confidence intervals (CI). Subgroup analyses by type of metal stent and a cost-effectiveness analysis were also performed. Results: Nine studies (687 patients) were finally included. Considering stricture resolution, SEMS and MPS did not differ significantly (OR 0.99, 95%CI 0.48-2.01; Conclusion: Stent type did not affect stricture resolution and recurrence; however, ID-SEMS placement was the most cost-effective approach compared to the alternatives.

Indexed as

fully coveredintraductalplastic stentsPost-liver-transplant biliary stricturesself-expandable metal stents

Identifiers

PMID38974085
PMCPMC11226740

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Registered trials

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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.