Evidence map›Paper›PMID 24771320›Full record

ArticleDigestive diseases and sciences2014

Efficacy and safety of endoscopic papillary large balloon dilation for large bile duct stones in elderly patients.

Ryosuke Tonozuka, Takao Itoi, Atsushi Sofuni, Fumihide Itokawa, Toshio Kurihara, Takayoshi Tsuchiya, Kentaro Ishii, Shujiro Tsuji, Nobuhito Ikeuchi, Junko Umeda and 5 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06948279 (Immediate Versus Elective Endoscopic Removal of Large Common Bile Duct Stones in High-Risk Elderly Patients), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
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.

NCT06948279 nacompletednot on this mapstarted 2022, after this paper: background citation

Immediate Versus Elective Endoscopic Removal of Large Common Bile Duct Stones in High-Risk Elderly Patients

TypeinterventionalSponsorNational Liver Institute, EgyptRan2022 to 2024Enrolled400ConditionsCholedocholithiasis, Jaundice, ObstructiveArmsThe endoscopic retrograde cholangiopancreatography (ERCP) with insertion of a plastic stent., The endoscopic retrograde cholangiopancreatography (ERCP) with immediate stone extraction attempts.
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Ryosuke TonozukaDepartment of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan, tonozuka1978@gmail.com.
Takao Itoi
Atsushi Sofuni
Fumihide Itokawa
Toshio Kurihara
Takayoshi Tsuchiya
Kentaro Ishii
Shujiro Tsuji
Nobuhito Ikeuchi
Junko Umeda
Reina Tanaka
Mitsuyoshi Honjyo
Shuntaro Mukai
Mitsuru Fujita
Fuminori Moriyasu
Tokyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive interventions for choledocholithiasis are preferable in elderly patients because they tend to have multiple underlying disorders or a decreased activity of daily living. Endoscopic sphincterotomy and endoscopic papillary balloon dilation have been recognized as first-line treatments for choledocholithiasis excluding difficult cases such as large stones or multiple stones. Recently, the safety and efficacy of endoscopic papillary large balloon dilation (EPLBD) for difficult choledocholithiasis cases have been reported, although scarcely in elderly patients.

aimsTo investigate whether EPLBD can be safety and effectively performed in patients aged 75 years or older.

methodsThe medical records of 165 patients who underwent EPLBD from November 2006 to August 2013 were analyzed retrospectively. The patients were divided into 2 groups: Group A (≥ 75 years); Group B (<75 years).

resultsSome underlying diseases were significantly more common in Group A than in Group B (P < 0.05). However, there was no significant difference in the success rates in the first session (96.2 vs 95.0 %, P = 0.970) and in the final success rates (100 % in both groups) between Group A and Group B. The adverse event rates (2.9 vs 5.0 %, P = 0.783) and recurrence rates of choledocholithiasis (6.7 vs 10.0 %, P = 0.444) were not significantly different. Regarding patients with an altered anatomy, the EPLBD outcome was not significantly different.

conclusionEPLBD can be safely performed for elderly patients similarly to younger patients.

Indexed as

AgedAged, 80 and overCatheterizationCholangiopancreatography, Endoscopic RetrogradeCholedocholithiasisDilatationHumansLength of StayMiddle AgedRecurrenceRetrospective StudiesTreatment Outcome

Identifiers

PMID24771320
OpenAlexW2078822059

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.