Evidence map›Paper›PMID 40624422›Full record

ArticleSurgical endoscopy2025

Feasibility and clinical utility of stone extraction balloon catheter-assisted endoscopic stenting for malignant distal duodenal and proximal jejunal obstruction (with video).

Jong Hoon Park, Young Rong Kim, Jae Chul Hwang, Kee Myung Lee, Byung Moo Yoo, Jin Hong Kim, Eun Ji Shin, Min Jae Yang

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Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Jong Hoon Park *Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.
Young Rong Kim *Department of Infectious Diseases, Ajou University School of Medicine, Suwon, Korea.
Jae Chul HwangDepartment of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.
Kee Myung LeeDepartment of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.
Byung Moo YooDepartment of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.
Jin Hong KimDepartment of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.
Eun Ji ShinDepartment of Medicine, Division of Gastroenterology and Hepatology, The Johns Hopkins University School of Medicine, Baltimore, USA. eshin3@jhmi.edu.
Min Jae YangDepartment of Gastroenterology, Ajou University School of Medicine, Suwon, Korea. ymj@ajou.ac.kr.ORCID http://orcid.org/0000-0001-5039-8182

Funding

National Research Foundation of Korea NRF-2021R1C1C1008619
6 · The paper itself

Abstract

backgroundEndoscopic stenting for malignant distal duodenal and jejunal obstructions is challenging because the length of conventional gastroscopes is insufficient to reach the obstruction point. A fully inflated balloon catheter freely navigates the duodenum and jejunum without causing bowel injury by burying the catheter tip. It easily changes its direction for guidewire relocation, conforming to the angulation of the small bowel flexures. This study evaluated the feasibility and efficacy of stone extraction balloon catheter-assisted endoscopic stenting for malignant distal duodenal and proximal jejunal obstructions.

methodsPatients with malignant distal duodenal or jejunal obstructions who underwent stone extraction balloon catheter-assisted duodenal stenting between January 2015 and December 2022 were retrospectively analyzed.

resultsWe evaluated 30 patients in this study. Pancreatic cancer is the primary cause of duodenal obstruction, with the third portion of the duodenum being the most common obstruction site. Technical success was achieved in 100% of cases, and the clinical success rate was 100%. The median procedure time was 35 min, and the mean gastric outlet obstruction score (GOOSS) improved from 1.20 (pre-procedure) to 2.87 (post-procedure). Early stent migration was encountered in one patient. During follow-up, stent dysfunction was noted in nine (30%) patients, and the overall stent patency time was 145 days.

conclusionStone extraction balloon catheter-assisted endoscopic stenting is an effective and reproducible technique for treating malignant distal duodenal and jejunal obstructions.

Indexed as

Duodenal ObstructionIntestinal ObstructionJejunal DiseasesStentsAgedAged, 80 and overFeasibility StudiesFemaleGastric Outlet ObstructionHumansMaleMiddle AgedPancreatic NeoplasmsRetrospective StudiesTreatment OutcomeMalignant duodenal obstructionMalignant jejunal obstructionSelf-expandable metallic stentStone extraction balloon catheter

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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.