Evidence map›Paper›PMID 41988030›Full record

ArticleEndoscopy international open2026

Through-the-scope clip with anchor prongs for defect closure following myotomy, resection, anti-reflux mucosectomy, fistula management, or bleeding.

Jeffrey D Mosko, Mohammad Al-Haddad, Heiko Pohl, Nikhil A Kumta, Shannon Melissa Chan, Marvin Ryou, Zaheer Nabi, Ping-Hong Zhou, Haruhiro Inoue, Joyce A Peetermans and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Endoscopy international open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05653843 (MANTIS Clip Study), which is not on this 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.

NCT05653843 completednot on this map

MANTIS Clip Study: A Prospective, Multi-Center, All-Comer MANTIS Endoscopic Clipping Study:

TypeobservationalSponsorBoston Scientific CorporationRan2023 to 2024Enrolled240ConditionsHemostasis, Perforation Colon, Feeding Tube Complication, EndoscopyArmsEndoscopic clip placement in the gastrointestinal tract.
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

12 authors.

Jeffrey D MoskoDivision of Gastroenterology, Department of Medicine, The Center for Advanced Therapeutic Endoscopy and Endoscopic Oncology, St. Michael's Hospital, Toronto, Canada.
Mohammad Al-HaddadDivision of Gastroenterology, Indiana University School of Medicine, Indianapolis, United States.ORCID 0000-0003-1641-9976
Heiko PohlSection of Gastroenterology and Hepatology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, United States.
Nikhil A KumtaDivision of Gastroenterology and Hepatology, NYU Langone Health, New York, United States.
Shannon Melissa ChanDepartment of Surgery, The Chinese University of Hong Kong, Faculty of Medicine, Hong Kong, Hong Kong.ORCID 0000-0001-6280-4176
Marvin RyouDivision of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, United States.
Zaheer NabiDepartment of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.
Ping-Hong ZhouEndoscopy Center, Zhongshan Hospital Fudan University, Shanghai, China.
Haruhiro InoueDigestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan.
Joyce A PeetermansClinical Endoscopy, Boston Scientific Corporation, Marlborough, United States.
Matthew J RousseauClinical Endoscopy, Boston Scientific Corporation, Marlborough, United States.
Daniel von RentelnDivision of Gastroenterology, University of Montreal, Montreal, Canada.ORCID 0000-0002-6125-0068

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and study aims: Through-the-scope endoscopic clips (TTSCs) are essential for defect closure. A newly designed TTSC with anchor prongs can close defects that were challenging with standard TTSCs. We assessed the safety and efficacy of the TTSC with anchor prongs. Patients and methods: We prospectively studied defect closure using a TTSC with anchor prongs within a multicenter cohort study at 10 sites in six countries. Outcomes were rates of complete defect closure, delayed bleeding, and device- or procedure-related serious adverse events (SAEs). Results: Fifty lesions among 49 participants were studied. Mean age was 55.6 ±16.6 years, and 24 (49.0%) were male. Indications for closure included endoscopic myotomy procedures (n = 21 lesions, 42.0%), bleeding (n = 9, 18.0%), full-thickness resection (n = 7, 14.0%), submucosal tunneling endoscopic resection (n = 6, 12.0%), endoscopic antireflux mucosectomy (n = 3, 6.0%), perforation or closure of non-bleeding fistula (n = 2, 4.0%), and defect closure after removal of embedded plastic biliary stent (n = 2, 4.0%). Complete defect closure was achieved in 49 lesions (98.0%). No delayed bleeding occurred 30 days after the index procedure. Three patients (6.0%) had four related SAEs: ischemic colitis in a participant with a bleeding colonic fistula (1), submucosal leak in a peroral endoscopic myotomy (POEM) procedure (1), and septic shock and mucosal injury associated with a gastric POEM procedure (1). All related SAEs resolved by 10 days after onset. Conclusions: The newly designed TTSC with anchor prongs demonstrated safety and efficacy in defect closures after submucosal interventions, with high rates of successful defect closure and no delayed bleeding. (ClinicalTrials.gov number, NCT05653843).

Indexed as

Endoscopy Upper GI TractMotility/achalasiaNon-variceal bleedingPOEM

Identifiers

PMID41988030
PMCPMC13077229

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.