Evidence map›Paper›PMID 39707005›Full record

ArticleSurgical endoscopy2025

Self-expanding metallic stent insertion for malignant bowel obstruction secondary to gynecologic malignancies: a retrospective analysis : SEMS for gynecological MBO is efficient.

Eliahu Yonathan Bekhor, Erez Klein, Hila Shmilovich, Gad Marom, Yair Glazer, Genevieve Bouchard-Fortier, Mai Harris, Eran Shlomovitz

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Eliahu Yonathan BekhorDepartment of Surgery, Rabin Medica Center, Petah Tikva, Israel. elibekhor@gmail.com.ORCID 0000-0001-9273-5490
Erez KleinDepartment of Surgery, University Health Network, Toronto, ON, Canada.
Hila ShmilovichDepartment of Surgery, Rabin Medica Center, Petah Tikva, Israel.
Gad MaromDepartment of Surgery, University Health Network, Toronto, ON, Canada.
Yair GlazerDepartment of Surgery, University Health Network, Toronto, ON, Canada.
Genevieve Bouchard-FortierDepartment of Gynecology, University Health Network, Toronto, ON, Canada.
Mai HarrisUniversity of Toronto, Toronto, ON, Canada.
Eran ShlomovitzDepartment of Surgery and Invasive Radiology, University Health Network, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalignant bowel obstruction (MBO) is a common complication in advanced and recurrent gynecologic malignancies, with limited treatment options and poor prognosis. Self-expanding metallic stent (SEMS) insertion has emerged as an alternative palliative measure, yet data specific to gynecologic malignancies remains scarce.

methodsA retrospective analysis was conducted on 61 patients with gynecologic malignancies and malignant large bowel obstruction who underwent colorectal stenting between January 2002 and December 2023. Data, including demographics, procedural details, clinical outcomes, and complications, were collected from electronic medical records.

resultsThe mean age of patients was 65.7 years, with ovarian cancer being the most common malignancy (77%). "Technical success" of SEMS insertion was achieved in 91.4% of cases, with a "clinical success" rate of 76.7%. Major complications occurred in 2% and 5% of patients at 30- and 90 days post-procedure, respectively. Overall mortality rates were 4% at 30 days and 28% at 90 days.

conclusionSEMS for managing MBO is a promising alternative to surgery in patients with advanced or recurrent gynecologic malignancies. It offers high technical and clinical success rates with acceptable complication rates. Further research is needed to delineate optimal patient selection criteria and refine procedural techniques to maximize outcomes in this challenging population.

Indexed as

Genital Neoplasms, FemaleIntestinal ObstructionSelf Expandable Metallic StentsAdultAgedAged, 80 and overFemaleHumansMiddle AgedPalliative CareRetrospective StudiesTreatment Outcome

Identifiers

PMID39707005

What OpenQuestion holds

Textmetadata
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.