Evidence map›Paper›PMID 40115595›Full record

ArticleDEN open2025

The anti-migration effect of partially covered self-expandable metal stents for unresectable malignant distal biliary obstruction: A multicenter comparative study.

Shinya Kohashi, Arata Sakai, Keisuke Furumatsu, Takeshi Ezaki, Takao Iemoto, Takeshi Tanaka, Masahiro Tsujimae, Takashi Kobayashi, Atsuhiro Masuda, Yuzo Kodama

Abstract read
In one paragraph

Article in DEN open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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.

Shinya KohashiDepartment of Internal Medicine Division of Gastroenterology Kobe University Graduate School of Medicine Hyogo Japan.ORCID https://orcid.org/0000-0002-6619-5627
Arata SakaiDepartment of Internal Medicine Division of Gastroenterology Kobe University Graduate School of Medicine Hyogo Japan.ORCID https://orcid.org/0000-0003-1072-5243
Keisuke FurumatsuDepartment of Gastroenterology Akashi Medical Center Hyogo Japan.
Takeshi EzakiDepartment of Gastroenterology Kobe Medical Center Hyogo Japan.
Takao IemotoDepartment of Gastroenterology Kita-harima Medical Center Hyogo Japan.
Takeshi TanakaDepartment of Internal Medicine Division of Gastroenterology Kobe University Graduate School of Medicine Hyogo Japan.
Masahiro TsujimaeDepartment of Internal Medicine Division of Gastroenterology Kobe University Graduate School of Medicine Hyogo Japan.
Takashi KobayashiDepartment of Internal Medicine Division of Gastroenterology Kobe University Graduate School of Medicine Hyogo Japan.
Atsuhiro MasudaDepartment of Internal Medicine Division of Gastroenterology Kobe University Graduate School of Medicine Hyogo Japan.
Yuzo KodamaDepartment of Internal Medicine Division of Gastroenterology Kobe University Graduate School of Medicine Hyogo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Covered self-expandable metal stents are commonly used for unresectable malignant distal biliary obstruction. Partially covered self-expandable metal stents have uncovered sections at both ends; however, their anti-migration effect remains unclear. The objective of this study was to evaluate that effect by comparing such stents with fully covered self-expandable metal stents for patients with unresectable malignant distal biliary obstruction. Methods: This was a multicenter, retrospective comparative study of partially covered stents with fully covered stents for unresectable malignant distal biliary obstruction. Stent migration, recurrent biliary obstruction, and the time to recurrent biliary obstruction were compared between them. Results: Thirty-nine patients with partially covered stents were included and compared with 42 patients with fully covered stents. The partially covered group had a significantly lower stent migration rate (3% vs. 36%; Conclusions: The anti-migration effect of partially covered self-expandable metal stents was associated with a reduced recurrence of biliary obstruction and prolonged time to such obstruction.

Indexed as

bile duct neoplasmsendoscopic retrograde cholangiopancreatographyobstructive jaundicepancreatic neoplasmsself‐expandable metallic stents

Identifiers

PMID40115595
PMCPMC11923903

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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.