Evidence map›Paper›PMID 41584624›Full record

ArticleVideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy2026

Endoscopic ultrasound-guided duodenojejunostomy for a duodenal duplication cyst presenting with duodenal obstruction.

Shuang Nie, Lei Wang, Shanshan Shen

Abstract read
In one paragraph

Article in VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy, 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. Article
  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

3 authors.

Shuang NieDepartment of Gastroenterology, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, China.
Lei WangDepartment of Gastroenterology, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, China.
Shanshan ShenDepartment of Gastroenterology, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Duodenal duplications are rare congenital anomalies that can cause gastrointestinal obstruction. Although surgical resection is the standard treatment, endoscopic alternatives are increasingly being explored. Endoscopic ultrasound (EUS)-guided anastomosis techniques have shown promise in treating gastrointestinal obstructions. However, their application in cases of duodenal duplication with obstruction remains technically challenging. We present a case where EUS-guided duodenojejunostomy (EUS-DJ) successfully resolved the duodenal obstruction caused by a duodenal duplication. Methods: A 50-year-old woman with refractory vomiting and severe electrolyte imbalance was diagnosed with a cystic-communicating duodenal duplication causing duodenal obstruction. As the patient declined surgical intervention, we performed an EUS-DJ. Under EUS guidance, a 19-gauge needle was used to puncture the jejunum via the duodenal cavity, followed by placement of a 15 × 10-mm lumen-apposing metal stent to establish a duodenojejunal bypass. Results: The patient resumed oral intake by postoperative day 3 and was discharged on day 5. One-month imaging confirmed stent patency and resolution of fluid accumulation. She remained symptom-free at 3-month follow-up. Conclusions: EUS-DJ appears to be a feasible and effective minimally invasive option for managing symptomatic duodenal duplication cysts, particularly in patients who are poor surgical candidates or decline surgery.

Identifiers

PMID41584624
PMCPMC12826998

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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.