Evidence map›Paper›PMID 41287748›Full record

ArticleDEN open2026

Efficacy of Endoscopic Ultrasound-guided Transluminal Drainage Using Lumen-apposing Metal Stents for the Treatment of Pancreatic Fluid Collections.

Keisuke Kinoshita, Kazuhisa Okamoto, Haruna Noguchi, Satoshi Fukuchi, Hidetoshi Akiyama, Mitsuteru Motomura, Yoshifumi Azuma, Yasuhisa Hiroshima, Takafumi Fuchino, Sotaro Ozaka and 8 more

Abstract read
In one paragraph

Article in DEN open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

18 authors.

Keisuke KinoshitaDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.ORCID https://orcid.org/0000-0002-4534-6174
Kazuhisa OkamotoDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.
Haruna NoguchiDepartment of Gastroenterology Oita City Medical Association Almeida Memorial Hospital Oita Japan.
Satoshi FukuchiDepartment of Gastroenterology Oita City Medical Association Almeida Memorial Hospital Oita Japan.
Hidetoshi AkiyamaDepartment of Gastroenterology Oita Red Cross Hospital Oita Japan.
Mitsuteru MotomuraDepartment of Gastroenterology Oita Red Cross Hospital Oita Japan.
Yoshifumi AzumaDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.
Yasuhisa HiroshimaDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.ORCID https://orcid.org/0009-0003-5525-7014
Takafumi FuchinoDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.
Sotaro OzakaDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.ORCID https://orcid.org/0000-0002-6283-7012
Ryota SagamiDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.
Takuro UchidaDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.ORCID https://orcid.org/0000-0002-6002-5213
Yuka HirashitaDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.
Kensuke FukudaDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.
Ryo OgawaDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.
Kazuhiro MizukamiDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.
Masaaki KodamaDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.ORCID https://orcid.org/0000-0003-0131-9470
Kazunari MurakamiDepartment of Gastroenterology Faculty of Medicine Oita University Oita Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Pancreatic fluid collections (PFCs) are able to develop secondary to either fluid leakage or liquefaction of acute pancreatitis, chronic pancreatitis, pancreatic trauma, or after pancreatic surgery. While most PFCs resolve spontaneously, endoscopic procedures are sometimes necessary. Endoscopic ultrasound-guided transluminal drainage (EUS-TD) using lumen-apposing metal stents (LAMS) is now widely performed for PFCs. This study investigated the incidence of complications and points to be considered during and after EUS-TD using LAMS for the treatment of patients with PFCs. Methods: This three-center retrospective study investigated patients who underwent EUS-TD using LAMS or using a double-pigtail plastic stent (DPS) for the treatment of PFCs at the University of Oita Hospital and affiliated institutions from December 2018 to June 2024. The primary outcome was the clinical success rate. Secondary outcomes included the technical success rate, endoscopic procedure time, LAMS indwell term, adverse events (AEs), and post-LAMS placement course. Results: Twenty-five patients (mean age, 67.5 ± 15.4 years; 76% male) underwent LAMS placement for PFCs. Median size of PFCs was 90 mm (range, 40-227 mm). A clinical success rate was achieved in 96%. The technical success rate was 96%, and the median endoscopic procedure time was 11 min (range, 5-32 min). Median LAMS indwell term was 46 days (range, 36-60 days). AEs were bleeding and stent migration. Post-LAMS placement course was good in 22 patients. No patients required re-treatment after LAMS removal. Conclusions: EUS-TD using LAMS is a simple procedure for the treatment of PFCs and appears clinically effective, highly safe, and efficient compared to conventional EUS-TD using DPS.

Indexed as

double‐pigtail plastic stentendoscopic ultrasound‐guided transluminal drainagelumen‐apposing metal stentpancreatic fluid collectionswalled‐off necrosis

Identifiers

PMID41287748
PMCPMC12640457

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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.