Evidence map›Paper›PMID 40670891›Full record

ArticleObesity surgery2025

Endoscopic Ultrasound Guided Gastro-Gastrostomy for Management of Pouch Outlet Obstruction Secondary to Vertical Banded Gastroplasty: Efficacy and Safety.

Gilles Hoilat, Melis Celdir, Henning Gerke

Abstract read
In one paragraph

Article in Obesity surgery, 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

3 authors.

Gilles HoilatGastroenterology and Hepatology, University of Iowa Hospital and Clinics, Iowa City, USA. gjadhoilat@gmail.com.
Melis CeldirGastroenterology and Hepatology, University of Iowa Hospital and Clinics, Iowa City, USA.
Henning GerkeGastroenterology and Hepatology, University of Iowa Hospital and Clinics, Iowa City, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVertical banded gastroplasty (VBG) was one of the preferred bariatric procedures in the 1980s. It includes a vertical staple line to create a small stomach pouch separated from the remainder of the stomach by a dime size hole. Symptoms of pouch outlet obstruction are a common late complication. At our center, we adopted an EUS-guided gastrogastrostomy with a lumen-apposing metal stent to treat this.

methodsWe retrospectively analyzed nine consecutive patients who underwent EUS-guided gastrogastrostomy for pouch outlet obstruction (POO) secondary to vertical banded gastroplasty between June 2019 and January 2024.

resultsThe follow-up period varied with a median period of 5.5 months (IQR 5-21). Patients with obstructive symptoms reported resolution of their symptoms and were able to tolerate a general diet. The median weight change was + 3.1 kg (IQR 1-8.45) with a median relative difference of + 3.7% (IQR 0.84-7.25). No adverse events were encountered, except for late stent migration in two patients.

conclusionsGastrogastrostomy with LAMS is effective and safe in treating pouch outlet obstruction in patients with a VBG anatomy. However, late stent migration may occur if not removed. Follow-up is required to monitor for fistula persistence after stent removal and to assess weight gain.

Indexed as

EndosonographyGastric Outlet ObstructionGastroplastyGastrostomyObesity, MorbidPostoperative ComplicationsAdultFemaleHumansMaleMiddle AgedRetrospective StudiesStentsTreatment OutcomeUltrasonography, InterventionalEUSGastrogastrostomyOutlet obstructionVBG

Identifiers

PMID40670891
PMCPMC12380959

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.