Evidence map›Paper›PMID 42466906›Full record

Observational studyDigestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society2026

EUS-Guided Gastroenterostomy for Malignant Gastric Outlet Obstruction: Morphological Classification to Prevent Stent Misdeployment.

Yu-Ting Kuo, Chi-Ying Yang, Jiann-Hwa Chen, Szu-Chia Liao, Cheng-Lin Hsieh, Chia-Hsien Wu, Meng-Ying Lin, Chen-Shuan Chung, Kuan-Chih Chen, Mu-Hsien Lee and 6 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07230665 (Outcome of Patients With Malignant Gastric Outlet Obstruction Undergoing Endoscopic Ultrasound-guided Gastroenterostomy or Enteral Metal Stenting), 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.

NCT07230665 enrolling by invitationnot on this map

Outcome of Patients With Malignant Gastric Outlet Obstruction Undergoing Endoscopic Ultrasound-guided Gastroenterostomy or Enteral Metal Stenting: a Prospective Cohort Study

Typeobservational_patient_registrySponsorNational Taiwan University HospitalRan2021 to 2026Enrolled200ConditionsGastric Outlet Obstruction Due to Malignancy, EUS Guided Enteroenteric Anastomosis, Endoscopy, Digestive SystemArmsEndoscopic ultrasound-guided gastroenterostomy
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

16 authors.

Yu-Ting KuoDivision of Endoscopy, Department of Integrated Diagnostics & Therapeutics, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan.ORCID https://orcid.org/0000-0002-2136-1126
Chi-Ying YangDepartment of Internal Medicine, Center for Digestive Medicine, China Medical University Hospital, China Medical University, Taichung, Taiwan.ORCID https://orcid.org/0000-0001-9534-4890
Jiann-Hwa ChenDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Taipei Tzu Chi Hospital & School of Medicine, Tzu Chi University, Hualien, Taiwan.ORCID https://orcid.org/0000-0002-8608-6313
Szu-Chia LiaoDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.ORCID https://orcid.org/0000-0003-3164-2578
Cheng-Lin HsiehDivision of Gastroenterology and Hepatology, Department of Internal Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu County, Taiwan.
Chia-Hsien WuDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Taitung Mackay Memorial Hospital, Taitung, Taiwan.
Meng-Ying LinDepartment of Internal Medicine, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan.ORCID https://orcid.org/0000-0003-3896-5695
Chen-Shuan ChungDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Kuan-Chih ChenDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Mu-Hsien LeeDepartment of Gastroenterology and Hepatology, Linkou Medical Center, Chang Gung Memorial Hospital and, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Hsiang-Yao ShihDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Jung-Chun LinDivision of Gastroenterology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan.
Cheuk-Kay SunDivision of Hepatology and Gastroenterology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Ming-Chang TsaiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan.
Hsiu-Po WangDepartment of Internal Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
Taiwan EUS‐GE Study Group (TEGESG)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveStent misdeployment is the most critical adverse event (AE) during endoscopic ultrasound-guided gastroenterostomy (EUS-GE). This study aimed to identify predictors of misdeployment in EUS-GE for malignant gastric outlet obstruction (mGOO).

methodsThis multicenter observational study utilized a prospectively maintained registry of consecutive patients undergoing EUS-GE for mGOO at 13 tertiary centers in Taiwan, with mixed retrospective-prospective assessment of fluoroscopic morphology (FM) of the gastrointestinal tract near the ligament of Treitz (four types) and EUS morphology (EM) of the target bowel (three types). The primary outcome was the misdeployment. Multivariable analysis identified predictors of misdeployment and survival.

resultsBetween July 2020 and June 2025, 165 patients were enrolled. Technical and clinical success rates were 98.2% and 95.2%, respectively. Overall AE rate and misdeployment rates were 7.3% and 4.8%, respectively. Same-session endoscopic salvage succeeded in 87.5% of misdeployment cases. EM type C (cross-sectional bowel view) carried the highest misdeployment risk (33%) and was the sole independent predictor (adjusted odds ratio 16.9; p = 0.001). FM provided essential complementary risk stratification; FM type II was more common among misdeployment cases (25.0% vs. 3.8%; p = 0.030). Implementation of a stepwise strategy in 2023-prioritizing EM type A/B, avoiding type C, and minimizing stomach-bowel distance-resulted in zero misdeployment. Independent predictors of poor survival included pancreatic cancer, malnutrition, poor performance status, ascites, metastasis, and misdeployment.

conclusionStent misdeployment is a significant complication adversely impacting survival. Utilizing integrated EM and FM risk stratification within a stepwise strategy can minimize misdeployment and optimize clinical outcomes.

trial registrationClinicalTrials.gov: NCT07230665.

Indexed as

EndosonographyGastric Outlet ObstructionGastroenterostomyStentsUltrasonography, InterventionalAgedFemaleHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID42466906
PMCPMC13378264

What OpenQuestion holds

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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.