Evidence map›Paper›PMID 39901672›Full record

ArticleReviews on recent clinical trials2025

Fully Covered Self-Expandable Metal Stents for the Treatment of Leak After Oncologic Gastroesophageal Surgery: A Cohort Study.

Carmelo Luigiano, Milena Di Leo, Marco Magistroni, Giuseppe Iabichino, Monica Arena, Pierluigi Consolo, Maria Angela Palamara, Ludovico Abenavoli, Luca De Luca

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Article in Reviews on recent clinical trials, 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

9 authors.

Carmelo LuigianoGastroenterology and Digestive Endoscopy Unit, Grande Ospedale Metropolitano "Bianchi-Melacrino-Morelli", Via Giuseppe Melacrino, Reggio Calabria, 21, 89124, Italy.
Milena Di LeoGastroenterology and Digestive Endoscopy Unit, ASST Santi Paolo e Carlo, Via A. Di Rudiní, Milano, 8, 20142, Italy.
Marco MagistroniGastroenterology and Digestive Endoscopy Unit, ASST Santi Paolo e Carlo, Via A. Di Rudiní, Milano, 8, 20142, Italy.
Giuseppe IabichinoGastroenterology and Digestive Endoscopy Unit, ASST Santi Paolo e Carlo, Via A. Di Rudiní, Milano, 8, 20142, Italy.
Monica ArenaGastroenterology and Digestive Endoscopy Unit, ASST Santi Paolo e Carlo, Via A. Di Rudiní, Milano, 8, 20142, Italy.
Pierluigi ConsoloUnit of Digestive Endoscopy, University of Messina, Hospital "G. Martino", Via Consolare Valeria , Messina, 2, 98124, Italy.
Maria Angela PalamaraDepartment of Hygiene and Public Health, Via Rosselli, Reggio Calabria, 8, 89123, Italy.
Ludovico AbenavoliDepartment of Health Sciences, University "Magna Graecia", Viale Europa, Catanzaro, 88100, Italy.
Luca De LucaGastroenterology and Digestive Endoscopy Unit, ASST Santi Paolo e Carlo, Via A. Di Rudiní, Milano, 8, 20142, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnastomotic leakages are one of the most frequent complications of gastroesophageal surgery with a high mortality.

objectiveThis study aimed to assess the efficacy and safety of endoscopic therapy using fully covered self-expanding metal stents (FC-SEMS) for the management of anastomotic leaks.

methodsIn this cohort study, all patients with leak after oncological gastroesophageal surgery treated with FC-SEMS were included. Procedures were performed by one expert endoscopist in three Italian endoscopic units. The primary outcome was clinical success defined as complete resolution of clinical and laboratory manifestations of sepsis with radiological evidence of leak closure. Secondary outcomes were technical success, stent-related adverse events (AEs), and mortality.

results28 patients (21.4% female, mean age 64.3 years) were included in the study, of whom 17 (60.7%) had undergone total gastrectomy, 9 (32.1%) Ivor-Lewis procedure, and 2 (7.1%) extended gastrectomy (transhiatal-abdominal approach). The leaks were located in esophagogastric anastomosis in 5 patients (17.9%), esophagojejunal anastomosis in 19 (67.9%), and esophagus in 4 (14.3%). A total of 34 stents were placed (mean of 1.2 per patient). Technical success of stent placement was achieved in all cases (100%). Clinical success was observed in 78.6% of patients. Stent-related early AEs occurred in 9 patients (32.1%, all were migration). Late AEs occurred in 21.4%, which all were treated endoscopically.

conclusionStenting therapy using FC-SEMS is a safe and effective modality for the management of anastomotic leaks.

Indexed as

Anastomotic LeakEsophageal NeoplasmsGastrectomySelf Expandable Metallic StentsStomach NeoplasmsAgedCohort StudiesFemaleHumansMaleMiddle AgedTreatment Outcomeanastomotic leakagesEnteral stentsfully covered self-expanding metal stent.gastrectomyIvor-Lewis esophagectomySEMS

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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.