Evidence map›Paper›PMID 41531457›Full record

ArticleDEN open2026

Endoscopic Ultrasound-Guided Hepaticogastrostomy With Plastic Stents in Comparison to Transpapillary Drainage With Metallic Stents for Unresectable Malignant Distal Biliary Obstructions.

Hidehito Sumiya, Yoshihide Kanno, Shinsuke Koshita, Takahisa Ogawa, Hiroaki Kusunose, Toshitaka Sakai, Keisuke Yonamine, Kazuaki Miyamoto, Fumisato Kozakai, Haruka Okano and 3 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 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

13 authors.

Hidehito SumiyaDepartment of Gastroenterology Sendai City Medical Center Miyagi Japan.ORCID https://orcid.org/0009-0001-6943-6684
Yoshihide KannoDepartment of Gastroenterology Sendai City Medical Center Miyagi Japan.ORCID https://orcid.org/0000-0002-2044-5483
Shinsuke KoshitaDepartment of Gastroenterology Sendai City Medical Center Miyagi Japan.ORCID https://orcid.org/0000-0001-6880-5532
Takahisa OgawaDepartment of Gastroenterology Sendai City Medical Center Miyagi Japan.ORCID https://orcid.org/0000-0002-8934-6555
Hiroaki KusunoseDepartment of Gastroenterology Sendai City Medical Center Miyagi Japan.
Toshitaka SakaiDepartment of Gastroenterology Sendai City Medical Center Miyagi Japan.
Keisuke YonamineDepartment of Gastroenterology Sendai City Medical Center Miyagi Japan.
Kazuaki MiyamotoDepartment of Gastroenterology Sendai City Medical Center Miyagi Japan.
Fumisato KozakaiDepartment of Gastroenterology Sendai City Medical Center Miyagi Japan.ORCID https://orcid.org/0000-0002-5890-3531
Haruka OkanoDepartment of Gastroenterology Sendai City Medical Center Miyagi Japan.
Kento HosokawaDepartment of Gastroenterology Sendai City Medical Center Miyagi Japan.
Shun NozakiDepartment of Gastroenterology Sendai City Medical Center Miyagi Japan.
Kei ItoDepartment of Gastroenterology Sendai City Medical Center Miyagi Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is usually performed for unresectable malignant distal biliary obstruction (MDBO) when endoscopic retrograde cholangiopancreatography-guided biliary stenting with fully covered self-expandable metallic stents (EBS-MSs) fails. We aimed to clarify the clinical outcomes of EUS-HGS with plastic stents (HGS-PSs) compared to EBS-MS. Methods: We retrospectively reviewed patients who underwent either HGS-PS with or without antegrade stenting using MS (AS-MS) or EBS-MS as initial biliary drainage for unresectable MDBO between January 2017 and July 2024. Results: A total of 27 patients were included in the HGS-PS group, and 128 patients were included in the EBS-MS group. Median procedure time was significantly shorter for the HGS-PS group (24 vs. 39 min, Conclusions: Although TRBO tended to be shorter for HGS-PS compared to EBS-MS, the addition of AS-MS to HGS-PS led to comparable TRBO, suggesting that this combination may be a viable alternative. Clinical Trial Registration: The authors have confirmed clinical trial registration is not needed for this submission.

Indexed as

antegrade stentingendoscopic retrograde cholangiopancreatographyendoscopic ultrasound‐guided hepaticogastrostomymalignant distal biliary obstructionplastic stent

Identifiers

PMID41531457
PMCPMC12791027

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Registered trials

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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.