Complete clip closure with staged triple-lumen feeding tube reduces delayed adverse events after duodenal endoscopic submucosal dissection

doi:10.3748/wjg.121090

Advanced Search

BPG is committed to discovery and dissemination of knowledge

Home / Archive / Volume 32, Issue 43

This Article

(2)

(0)

(4)

Peer-Review Report of This Article

CrossCheck and Google Search of This Article

Academic Rules and Norms of This Article

Supplementary Materials of This Article

Citation of this article

Corresponding Author of This Article

Research Domain of This Article

Article-Type of This Article

Open-Access Policy of This Article

Times Cited Counts in Google of This Article

Journal Information of This Article

Publication Name

World Journal of Gastroenterology

ISSN

1007-9327

Publisher of This Article

Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Cohort Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastroenterol. Nov 21, 2026; 32(43): 121090
Published online Nov 21, 2026. doi: 10.3748/wjg.121090

Table 3 Subgroup χ² analyses of the association between titanium clip closure quality and postoperative complications after duodenal endoscopic submucosal dissection

Stratification variable	Subgroup	Sample Size (n)	Complete closure complication rate (%)	Incomplete closure complication rate (%)	RRR (%)	P value
Age (years)	> 59	85	5.6 (3/54)	19.4 (6/31)	71.3	0.067
Age (years)	≤ 59	94	4.8 (3/62)	34.4 (11/32)	86.0	< 0.001
Gender	Male	93	8.3 (5/60)	30.3 (10/33)	72.5	0.014
Gender	Female	86	1.8 (1/56)	23.3 (7/30)	92.3	0.002
BMI (kg/m²)	> 24.0	87	5.2 (3/58)	27.6 (8/29)	81.3	0.005
BMI (kg/m²)	≤ 24.0	92	5.2 (3/58)	26.5 (9/34)	80.5	0.008
Comorbidity	No	122	6.4 (5/78)	29.5 (13/44)	78.3	< 0.001
Comorbidity	Yes	57	2.6 (1/38)	21.1 (4/19)	87.5	0.038
Lesion location	Non-ampullary area	156	4.0 (4/101)	27.3 (15/55)	85.5	< 0.001
Lesion location	Ampullary area	23	13.3 (2/15)	25.0 (2/8)	46.7	0.589
Drainage strategy	Nasogastric tube	72	8.9 (4/45)	33.3 (9/27)	73.3	0.013
Drainage strategy	Triple-lumen feeding tube	107	2.8 (2/71)	22.2 (8/36)	87.3	0.002
Admission year	2016-2020	23	21.4 (3/14)	22.2 (2/9)	3.6	1.000
Admission year	2021-2025	156	2.9 (3/102)	27.8 (15/54)	89.4	< 0.001

RRR (%) = (complication rate in the incomplete closure group - complication rate in the complete closure group)/complication rate in the incomplete closure group. BMI: Body mass index; RRR: Relative risk reduction.

Full Size Table

Citation: Song Y, Wang J, Meng F, Wu Q. Complete clip closure with staged triple-lumen feeding tube reduces delayed adverse events after duodenal endoscopic submucosal dissection. World J Gastroenterol 2026; 32(43): 121090
URL: https://www.wjgnet.com/1007-9327/full/v32/i43/121090.htm
DOI: https://dx.doi.org/10.3748/wjg.121090

Song Y, Wang J, Meng F, Wu Q. Complete clip closure with staged triple-lumen feeding tube reduces delayed adverse events after duodenal endoscopic submucosal dissection. World J Gastroenterol 2026; 32(43): 121090 [DOI: 10.3748/wjg.121090]

All content on this site: Copyright © 1993-2026 Baishideng Publishing Group Inc, its licensors, and contributors. All rights are reserved, including those for text and data mining, AI training, and similar technologies. For all open access content, the relevant licensing terms apply.