Evidence map›Paper›PMID 39372285›Full record

ReviewDEN open2025

Long-term efficacy (at and beyond 1 year) of gastric peroral endoscopic myotomy for refractory gastroparesis: A systematic review and meta-analysis.

Francesco Vito Mandarino, Alberto Barchi, Noemi Salmeri, Francesco Azzolini, Ernesto Fasulo, Giuseppe Dell'Anna, Edoardo Vespa, Emanuele Sinagra, Jeremie Jacques, Silvio Danese

Abstract readReview
In one paragraph

Review in DEN open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
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

10 authors.

Francesco Vito MandarinoDivision of Gastroenterology and Gastrointestinal Endoscopy IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University Milan Italy.ORCID https://orcid.org/0000-0002-9931-7221
Alberto BarchiDivision of Gastroenterology and Gastrointestinal Endoscopy IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University Milan Italy.
Noemi SalmeriGynecology/Obstetrics Unit, IRCCS San Raffaele Hospital Vita-Salute San Raffaele University Milan Italy.
Francesco AzzoliniDivision of Gastroenterology and Gastrointestinal Endoscopy IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University Milan Italy.
Ernesto FasuloDivision of Gastroenterology and Gastrointestinal Endoscopy IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University Milan Italy.ORCID https://orcid.org/0009-0009-3967-2684
Giuseppe Dell'AnnaDivision of Gastroenterology and Gastrointestinal Endoscopy IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University Milan Italy.
Edoardo VespaDivision of Gastroenterology and Gastrointestinal Endoscopy IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University Milan Italy.
Emanuele SinagraGastroenterology and Endoscopy Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto Cefalu Italy.
Jeremie JacquesDepartment of Gastroenterology and Endoscopy Dupuytren University Hospital Limoges France.
Silvio DaneseDivision of Gastroenterology and Gastrointestinal Endoscopy IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University Milan Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Although gastric peroral endoscopic myotomy (G-POEM) has shown substantial efficacy in patients with medically refractory gastroparesis (GP), comprehensive long-term data on its effectiveness are lacking. Methods: We conducted a systematic review and meta-analysis including observational studies assessing long-term efficacy after G-POEM in patients with refractory GP. Our primary outcome was the pooled rate of clinical success 1-year after G-POEM. Secondary outcomes included clinical success at 2 and 3 years and the rate of adverse events according to the American Society for Gastrointestinal Endoscopy classification. Results: Thirteen studies, involving 952 patients with refractory GP undergoing G-POEM, were eligible. The pooled 1 year-clinical success was 0.72 (95% confidence interval [CI]: 0.56, 0.85, I Conclusion: G-POEM is associated with successful outcomes in about 70% of treated cases after 1 year, with durable long-term effects lasting up to 3 years. In the future, new uniform outcome definitions and strict patient selection criteria are warranted to delineate G-POEM outcomes more accurately.

Indexed as

gastric peroral endoscopic myotomygastroparesisG‐POEMmyotomyrefractory

Identifiers

PMID39372285
PMCPMC11452608

What OpenQuestion holds

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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.