Evidence map›Paper›PMID 39044669›Full record

ArticleClinical endoscopy2024

Coaxial plastic stent placement within lumen-apposing metal stents for the management of pancreatic fluid collections: a systemic review and meta-analysis.

Jad AbiMansour, Veeravich Jaruvongvanich, Saran Velaga, Ryan Law, Andrew C Storm, Mark Topazian, Michael J Levy, Ryan Alexander, Eric J Vargas, Aliana Bofill-Garica and 4 more

Abstract read
In one paragraph

Article in Clinical 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.

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

14 authors.

Jad AbiMansourMayo Clinic Rochester, Rochester, MN, USA.
Veeravich JaruvongvanichMayo Clinic Rochester, Rochester, MN, USA.
Saran VelagaMayo Clinic Rochester, Rochester, MN, USA.
Ryan LawMayo Clinic Rochester, Rochester, MN, USA.
Andrew C StormMayo Clinic Rochester, Rochester, MN, USA.
Mark TopazianMayo Clinic Rochester, Rochester, MN, USA.
Michael J LevyMayo Clinic Rochester, Rochester, MN, USA.
Ryan AlexanderMayo Clinic Rochester, Rochester, MN, USA.
Eric J VargasMayo Clinic Rochester, Rochester, MN, USA.
Aliana Bofill-GaricaMayo Clinic Rochester, Rochester, MN, USA.
John A MartinMayo Clinic Rochester, Rochester, MN, USA.
Bret T PetersenMayo Clinic Rochester, Rochester, MN, USA.
Barham K Abu DayyehMayo Clinic Rochester, Rochester, MN, USA.
Vinay ChandrasekharaMayo Clinic Rochester, Rochester, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsCoaxial placement of double pigtail plastic stents (DPPS) through lumen-apposing metal stents (LAMSs) is commonly performed to reduce the risk of LAMS obstruction, bleeding, and stent migration when used for the drainage of pancreatic fluid collections (PFCs). A systematic review and meta-analysis were performed to compare the outcomes of LAMS alone and LAMS with coaxial DPPS placement in the management of PFCs.

methodsA systematic review was conducted to identify studies comparing LAMS and LAMS/DPPS for PFC drainage. Primary outcomes included the rate of clinical success, overall adverse events (AEs), bleeding, infection, occlusion, and stent migration. The pooled effect size was summarized using a random-effects model and compared between LAMS and LAMS/DPPS by calculating odds ratios (ORs).

resultsNine studies involving 709 patients were identified (338 on LAMS and 371 on LAMS/DPPS). LAMS/DPPS was associated with a reduced risk of stent obstruction (OR, 0.59; p=0.004) and infection (OR, 0.55; p=0.001). No significant differences were observed in clinical success (OR, 0.96; p=0.440), overall AEs (OR, 0.57; p=0.060), bleeding (OR, 0.61; p=0.120), or stent migration (OR, 1.03; p=0.480).

conclusionsCoaxial DPPS for LAMS drainage of PFCs is associated with a reduced risk of stent occlusion and infection; however, no difference was observed in the overall AE rates or bleeding.

Indexed as

Acute necrotizing pancreatitisChronicEndosonographyFat necrosis, Pancreatic pseudocystPancreatitisPeripancreatic

Identifiers

PMID39044669
PMCPMC11474481

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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.