Citations 2
P362 Endoscopic submucosal dissection with rubber bands and clips compared to conventional endoscopic submucosal dissection: a systematic review and meta-analysis
Hassan, M, Marey, Mohamed Mahmoud, Bahnasy, Ahmed, Mohamed, Rashad G, Keshk, Menna A. , Alnomani, Yousef Radwan , Balouz, Manar A., Hussein, Ahmed Abdelgayed M, Mohamed, Fatma Saffeyeldin, Alaeb, Mohammed A., Sharaf, Mohamed S., Ahmed, Omar T. , Neknam, Nigar, Andrawes, Sherif, Awad, Abdelaziz A. , Abosheaishaa, Hazem Maarouf , Marey, Mohamed Mahmoud , Mohamed, Rashad G. , Mohamed, Fatma S, Andrawes, Sherif
E-Posters | June 23, 2026 | Volume: No volume available | Issue: No issue available | Pages: A298.1-A298
Stent fixation could reduce the stent migration rate: a comprehensive systematic review and meta-analysis
Awad, Esraa, Bahnasy, Ahmed, Narouz, Youssef, Elmarzouky, Doaa A., Albawri, Amira A., Harash, Yara M., Othman, Ali M., Ali, Alaa E., Balouz, Manar A., Hussein, Ahmed , Ahmed, Fatma Abdelrahman , Alaeb, Mohammed A., Megawer, Rana, Awad, Abdelaziz A. , Awad, Esraa, Othman, Ali M., Hussein, Ahmed Abdelgayed M., Ahmed, Fatma S., El-Khalifa, Basma M.
No container title available | September 9, 2025 | Volume: No volume available | Issue: No issue available | Pages: No page available
Abstract Background Endoscopic placement of self-expandable metal stents (SEMS) is a minimally invasive intervention, aiming to restore luminal patency in GIT obstruction patients. As stent migration is considered a major sequela, techniques for its fixation have been established. This study aims to assess the efficacy of stent fixation using either endoscopic suture fixation or over-the-scope clips (OTSC). Methods Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we searched available databases (PubMed, Scopus, and Web of Science) to identify eligible studies reported up to January 2025. Using RevMan 5.4, we reported outcomes as odds ratios (OR) and confidence intervals (CIs). A P-value ≤ 0.05 was considered statistically significant. Results Twelve studies were included in this meta-analysis, with a total of 1136 patients. The pooled OR for stent fixation is 0.32 (95% CI: 0.19–0.57; p < 0.001), with moderate heterogeneity (I² = 59%, P = 0.005). According to the subgroup analysis in relation to the fixation method, suture fixation yields a pooled OR of 0.37 (95% CI: 0.19–0.69; p = 0.002), and OTSC fixation yields a pooled OR of 0.25 (95% CI: 0.11–0.54; p = 0.0004). There is no statistically significant difference between these subgroups (p = 0.45, I² = 0%). There was no statistically significant difference in the rates of adverse events; with a pooled OR of 0.71 (95% CI: 0.33–1.54), and substantial heterogeneity (I 2 = 73%; P = 0.002). Conclusion Statistically significant lower stent migration rates were reported following either endoscopic suture fixation or OTSC, along with higher clinical success rates. Future clinical trials with longer follow-up durations are recommended to accurately update the guidelines.