Evidence map›Paper›PMID 41908502›Full record

ArticleACG case reports journal2026

Lumen-Apposing Metal Stent as a Bridge to Endoscopic Balloon Dilation for a Refractory Ileocolonic Anastomotic Crohn's Stricture.

Hillary C Smalley, Rohit Khanna, Matthew Skinner, Keith Beiermeister, Lynn Weston, Melissa Ferrari, Mazer Ally, Gauree G Konijeti

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in ACG case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Hillary C SmalleyDepartment of Gastroenterology, Naval Medical Center, San Diego, CA.
Rohit KhannaDivision of Gastroenterology & Hepatology, Scripps Clinic, La Jolla, CA.
Matthew SkinnerDivision of Gastroenterology & Hepatology, Scripps Clinic, La Jolla, CA.
Keith BeiermeisterDivision of Colorectal Surgery, Scripps Clinic, La Jolla, CA.
Lynn WestonDivision of Colorectal Surgery, Scripps Clinic, La Jolla, CA.
Melissa FerrariDivision of Gastroenterology & Hepatology, Scripps Clinic, La Jolla, CA.
Mazer AllyDivision of Gastroenterology & Hepatology, Scripps Clinic, La Jolla, CA.
Gauree G KonijetiDivision of Gastroenterology & Hepatology, Scripps Clinic, La Jolla, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Strictures in Crohn's disease frequently involve ileocolonic anastomoses and may cause recurrent small bowel obstruction (SBO). Endoscopic balloon dilation (EBD) is effective but can be limited in complex strictures, and many patients ultimately require surgery. We report a 76-year-old man with long-standing stricturing/penetrating ileocolonic Crohn's disease and multiple resections who presented with recurrent SBO from a severely angulated, ulcerated pinhole-size ileocolonic anastomoses stricture not amenable to EBD. Given his age, frailty, and concern for further bowel loss that would result from additional surgery, we placed fully covered lumen-apposing metal stents endoscopically and removed it after 3 months, followed by staged EBD. This approach resulted in sustained symptom resolution and improved anastomotic patency without recurrent SBO up to 2 years.

Indexed as

Crohn's diseaseLAMSstentstricture

Identifiers

PMID41908502
PMCPMC13023687

What OpenQuestion holds

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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.