Evidence map›Paper›PMID 20844893›Full record

Trial reportSurgical endoscopy2011

Preoperative versus intraoperative endoscopic sphincterotomy for management of common bile duct stones.

Ahmed A ElGeidie, Gamal K ElEbidy, Yussef M Naeem

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 11 pooled it
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 11 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Guideline
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  10. Surgical versus endoscopic treatment of bile duct stones.The Cochrane database of systematic reviews · 2013
    Pooled it
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  12. Trial
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  15. Gallstones and common bile duct stones management: Single-stageWorld journal of gastrointestinal endoscopy · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Ahmed A ElGeidieGastroenterology Surgical Center, Jehan Street, Mansoura, Dakahlia 35516, Egypt. ahmedraoaf@mans.edu.eg
Gamal K ElEbidy
Yussef M Naeem

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundERCP remains the prevailing method of treating CBDS; however, its ideal timing in respect to laparoscopic cholecystectomy (LC) is not defined. LC combined with intraoperative endoscopic sphincterotomy (IOES) was compared with preoperative endoscopic sphincterotomy (PES) followed by LC for management of preoperatively known cholecystocholedocholithiasis.

methodsBetween June 2006 and September 2009, 198 patients diagnosed preoperatively by clinical assessment, liver chemistry, ultrasonography, and magnetic resonance cholangiopancreatography (MRCP) to have combined choledochocystolithiasis were eligible. They were randomly divided into two groups: PES/LC group (n = 100) and LC/IOES group (n = 98). The surgical times, surgical success rates, number of stone extractions, postoperative complications, retained common bile duct stones, and postoperative lengths of stay were compared prospectively.

resultsThere were no statistically significant differences in surgical time, surgical success rate, CBD diameter, stone size, or stone number between the two groups. The success rate was 95.3% and 97.8% for PES/LC and LC/IOES, respectively. There were no significant difference in postoperative retained stones, surgical time, and complications, but the total hospital stay was significantly shorter in the LC/IOES group.

conclusionsPES/LC and LC/IOES are both good options for dealing with preoperatively diagnosed CBDS, but when there is enough experience and facilities, LC/IOES, as a single-stage treatment, would be preferable.

Indexed as

Cholangiopancreatography, Endoscopic RetrogradeAdultCholecystectomy, LaparoscopicCholecystitisCholedocholithiasisFemaleHumansIntraoperative CareLength of StayMaleMiddle AgedPostoperative ComplicationsPreoperative CareProspective StudiesSphincterotomy, EndoscopicTreatment Outcome

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.