{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T19:06:29Z","timestamp":1785783989467,"version":"3.56.0"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>\n            Background\u2002Esophageal stenting is an important intervention for managing malignant and benign dysphagia, with stent migration representing a common drawback. This systematic review with meta-analysis aimed to assess the benefit of stent fixation over nonfixation.<\/jats:p><jats:p>\n            Methods\u2002A systematic search was performed in MEDLINE, Cochrane, Scopus, and ClinicalTrials.gov databases until January 2023 for comparative studies evaluating the migration rates of esophageal stents with versus without (control) fixation. The primary outcome was migration rate. Secondary outcomes included adverse event rate. A subgroup analysis stratified the results based on different fixation techniques: suturing, over-the-scope (OTS) clipping, and through-the-scope (TTS) clipping. Meta-analysis was based on a random effects model and the results were reported as odds ratios (ORs) with 95\u200a%CIs.<\/jats:p><jats:p>\n            Results\u200210 studies (1014 patients) were included. The rate of stent migration was significantly lower after fixation (OR 0.20, 95\u200a%CI 0.11\u20130.37; I2\n            \u200a=\u200a59\u200a%, P\u200a=\u200a0.01). The adverse event rate was similar between fixation and control groups (OR 0.65, 95\u200a%CI 0.28\u20131.52; I2\n            \u200a=\u200a55\u200a%, P\u200a=\u200a0.06). In the subgroup analysis, all fixation techniques remained superior to nonfixation of stents (suturing OR 0.23, 95\u200a%CI 0.10\u20130.53; OTS clips OR 0.31, 95\u200a%CI 0.17\u20130.58; TTS clips OR 0.10, 95\u200a%CI 0.03\u20130.38); however, only the OTS and TTS clip groups achieved nonsignificant heterogeneity (I2\n            \u200a=\u200a0\u200a%, P\u200a=\u200a0.67 and P\u200a=\u200a0.73, respectively). No difference between techniques was recorded for migration rates.<\/jats:p><jats:p>\n            Conclusion\u2002Esophageal stent fixation was associated with significantly lower migration rates compared with nonfixation of stents, regardless of fixation technique and stenting indication.<\/jats:p>","DOI":"10.1055\/a-2147-8294","type":"journal-article","created":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T22:56:37Z","timestamp":1691103397000},"page":"22-30","source":"Crossref","is-referenced-by-count":19,"title":["Success rates of fixation techniques on prevention of esophageal stent migration: a systematic review and meta-analysis"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3563-4973","authenticated-orcid":false,"given":"Apostolis","family":"Papaefthymiou","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, University College London Hospitals, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paraskevas","family":"Gkolfakis","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, General Hospital of Nea Ionia \u201cKonstantopoulio-Patision\u201d, Athens, Greece"},{"name":"Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme University Hospital, Universit\u00e9 Libre de Bruxelles, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirill","family":"Basiliya","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, University College London Hospitals, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daryl","family":"Ramai","sequence":"additional","affiliation":[{"name":"Gastroenterology and Hepatology, University of Utah Health, Salt Lake City, Utah, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2945-6007","authenticated-orcid":false,"given":"Georgios","family":"Tziatzios","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, General Hospital of Nea Ionia \u201cKonstantopoulio-Patision\u201d, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay","family":"Sehgal","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, University College London Hospitals, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Telese","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, University College London Hospitals, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2058-3162","authenticated-orcid":false,"given":"Benjamin","family":"Norton","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, University College London Hospitals, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasar","family":"Aslam","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, University College London Hospitals, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin","family":"Johnson","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, University College London Hospitals, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rehan","family":"Haidry","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, University College London Hospitals, London, United Kingdom"},{"name":"Cleveland Clinic London, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,9,14]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1055\/a-1475-0063","article-title":"Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) Guideline \u2013 Update 2021","volume":"53","author":"M CW Spaander","year":"2021","journal-title":"Endoscopy"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1007\/s11938-021-00352-z","article-title":"Management of chronic refractory oesophageal strictures","volume":"19","author":"V Sehgal","year":"2021","journal-title":"Curr Treat Options Gastroenterol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"3281","DOI":"10.2147\/CMAR.S362666","article-title":"Optimal management of dysphagia in patients with inoperable esophageal cancer: current perspectives","volume":"14","author":"S 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a cost-effectiveness analysis","volume":"81","author":"NA Kumta","year":"2015","journal-title":"Gastrointest Endosc"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1055\/a-2003-5818","article-title":"Curriculum for bariatric endoscopy and endoscopic treatment of the complications of bariatric surgery: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement","volume":"55","author":"I Bo\u0161koski","year":"2023","journal-title":"Endoscopy"},{"key":"ref35","first-page":"e7380","article-title":"Complications related to esophageal stent (Boston Scientific Wallflex vs. Merit Medical Endotek) use in benign and malignant conditions","volume":"12","author":"R Essrani","year":"2020","journal-title":"Cureus"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1111\/j.1442-2050.2005.00484.x","article-title":"Fluoroscopically guided insertion of self-expandable metal esophageal stents for palliative treatment of patients with malignant stenosis of esophagus and cardia: comparison of uncovered and covered stent types","volume":"18","author":"Dj Saranovic","year":"2005","journal-title":"Dis Esophagus"}],"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2147-8294.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T23:31:27Z","timestamp":1703201487000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2147-8294"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,3]]},"references-count":34,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2023,12,21]]},"published-print":{"date-parts":[[2024,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2147-8294","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,8,3]]},"published":{"date-parts":[[2023,8,3]]}}}