Evidence map›Paper›PMID 24976807›Full record

ArticleGastroenterology & hepatology2014

Identifying patients most likely to have a common bile duct stone after a positive intraoperative cholangiogram.

Raja Vadlamudi, Jason Conway, Girish Mishra, John Baillie, John Gilliam, Adolfo Fernandez, John Evans

Open access · greenAbstract read
PubMed Full text at PMC
In one paragraph

Article in Gastroenterology & hepatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Raja VadlamudiDr Vadlamudi is a gastroenterology fellow in the Department of Medicine at SUNY Upstate Medical University in Syracuse, New York. Drs Conway, Mishra, Gilliam, Fernandez, and Evans are affiliated with the Wake Forest School of Medicine in Winston-Salem, North Carolina. Dr Conway is an assistant professor of internal medicine, director of Endoscopic Ultrasound Services and the Advanced Endoscopy Fellowship Program in the Department of Internal Medicine; Dr Mishra is an associate professor of medicine, director of Endoscopy & Clinical Services, and vice chief of the Division of Gastroenterology; Drs Gilliam and Evans are assistant professors of medicine in the Division of Gastroenterology; and Dr Fernandez is an associate professor of surgery in the Department of General Surgery. Dr Baillie is the director of medical gastro-enterology at the Carteret Medical Group in Morehead City, North Carolina.
Jason ConwayDr Vadlamudi is a gastroenterology fellow in the Department of Medicine at SUNY Upstate Medical University in Syracuse, New York. Drs Conway, Mishra, Gilliam, Fernandez, and Evans are affiliated with the Wake Forest School of Medicine in Winston-Salem, North Carolina. Dr Conway is an assistant professor of internal medicine, director of Endoscopic Ultrasound Services and the Advanced Endoscopy Fellowship Program in the Department of Internal Medicine; Dr Mishra is an associate professor of medicine, director of Endoscopy & Clinical Services, and vice chief of the Division of Gastroenterology; Drs Gilliam and Evans are assistant professors of medicine in the Division of Gastroenterology; and Dr Fernandez is an associate professor of surgery in the Department of General Surgery. Dr Baillie is the director of medical gastro-enterology at the Carteret Medical Group in Morehead City, North Carolina.
Girish MishraDr Vadlamudi is a gastroenterology fellow in the Department of Medicine at SUNY Upstate Medical University in Syracuse, New York. Drs Conway, Mishra, Gilliam, Fernandez, and Evans are affiliated with the Wake Forest School of Medicine in Winston-Salem, North Carolina. Dr Conway is an assistant professor of internal medicine, director of Endoscopic Ultrasound Services and the Advanced Endoscopy Fellowship Program in the Department of Internal Medicine; Dr Mishra is an associate professor of medicine, director of Endoscopy & Clinical Services, and vice chief of the Division of Gastroenterology; Drs Gilliam and Evans are assistant professors of medicine in the Division of Gastroenterology; and Dr Fernandez is an associate professor of surgery in the Department of General Surgery. Dr Baillie is the director of medical gastro-enterology at the Carteret Medical Group in Morehead City, North Carolina.
John BaillieDr Vadlamudi is a gastroenterology fellow in the Department of Medicine at SUNY Upstate Medical University in Syracuse, New York. Drs Conway, Mishra, Gilliam, Fernandez, and Evans are affiliated with the Wake Forest School of Medicine in Winston-Salem, North Carolina. Dr Conway is an assistant professor of internal medicine, director of Endoscopic Ultrasound Services and the Advanced Endoscopy Fellowship Program in the Department of Internal Medicine; Dr Mishra is an associate professor of medicine, director of Endoscopy & Clinical Services, and vice chief of the Division of Gastroenterology; Drs Gilliam and Evans are assistant professors of medicine in the Division of Gastroenterology; and Dr Fernandez is an associate professor of surgery in the Department of General Surgery. Dr Baillie is the director of medical gastro-enterology at the Carteret Medical Group in Morehead City, North Carolina.
John GilliamDr Vadlamudi is a gastroenterology fellow in the Department of Medicine at SUNY Upstate Medical University in Syracuse, New York. Drs Conway, Mishra, Gilliam, Fernandez, and Evans are affiliated with the Wake Forest School of Medicine in Winston-Salem, North Carolina. Dr Conway is an assistant professor of internal medicine, director of Endoscopic Ultrasound Services and the Advanced Endoscopy Fellowship Program in the Department of Internal Medicine; Dr Mishra is an associate professor of medicine, director of Endoscopy & Clinical Services, and vice chief of the Division of Gastroenterology; Drs Gilliam and Evans are assistant professors of medicine in the Division of Gastroenterology; and Dr Fernandez is an associate professor of surgery in the Department of General Surgery. Dr Baillie is the director of medical gastro-enterology at the Carteret Medical Group in Morehead City, North Carolina.
Adolfo FernandezDr Vadlamudi is a gastroenterology fellow in the Department of Medicine at SUNY Upstate Medical University in Syracuse, New York. Drs Conway, Mishra, Gilliam, Fernandez, and Evans are affiliated with the Wake Forest School of Medicine in Winston-Salem, North Carolina. Dr Conway is an assistant professor of internal medicine, director of Endoscopic Ultrasound Services and the Advanced Endoscopy Fellowship Program in the Department of Internal Medicine; Dr Mishra is an associate professor of medicine, director of Endoscopy & Clinical Services, and vice chief of the Division of Gastroenterology; Drs Gilliam and Evans are assistant professors of medicine in the Division of Gastroenterology; and Dr Fernandez is an associate professor of surgery in the Department of General Surgery. Dr Baillie is the director of medical gastro-enterology at the Carteret Medical Group in Morehead City, North Carolina.
John EvansDr Vadlamudi is a gastroenterology fellow in the Department of Medicine at SUNY Upstate Medical University in Syracuse, New York. Drs Conway, Mishra, Gilliam, Fernandez, and Evans are affiliated with the Wake Forest School of Medicine in Winston-Salem, North Carolina. Dr Conway is an assistant professor of internal medicine, director of Endoscopic Ultrasound Services and the Advanced Endoscopy Fellowship Program in the Department of Internal Medicine; Dr Mishra is an associate professor of medicine, director of Endoscopy & Clinical Services, and vice chief of the Division of Gastroenterology; Drs Gilliam and Evans are assistant professors of medicine in the Division of Gastroenterology; and Dr Fernandez is an associate professor of surgery in the Department of General Surgery. Dr Baillie is the director of medical gastro-enterology at the Carteret Medical Group in Morehead City, North Carolina.
Amway (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The false-positive rates of a positive intraoperative cholangiogram (IOC) are as high as 60%. Endoscopic retrograde cholangiopancreatography (ERCP) for stone removal is required after a positive IOC. It is unclear which clinical factors identify patients most likely to have a stone after a positive IOC. This study was conducted to identify factors predictive of common bile duct (CBD) stone(s) on ERCP after a positive IOC. A retrospective review of our endoscopic database identified all ERCP and/or endoscopic ultrasound (EUS) procedures performed for a positive IOC between August 2003 and August 2009. Collected data included patient demographics; indication for cholecystectomy; IOC findings; blood tests before and after cholecystectomy, including liver function tests, complete blood count, and amylase and lipase measurements; and ERCP and/or EUS results. Patients who had a negative EUS for CBD stones and no subsequent ERCP were contacted by phone to see if they eventually required an ERCP. Univariate and multi-variable analyses were performed. A total of 114 patients were included in the study. IOC findings included a single stone, multiple stones, nonpassage of contrast into the duodenum, dilated CBD, and poor visualization of the bile duct. Eighty-four percent of patients had ERCP only, 9% had EUS only, and 7% had EUS followed by ERCP. Sixty-five patients (57%) had CBD stones on ERCP or EUS. Older age, multiple stones, dilated CBD on IOC, and elevated postcholecystectomy bilirubin levels were the clinical variables with statistically significant differences on univariate analysis. On multivariable analysis, older age and elevated postcholecystectomy total bilirubin levels correlated with the presence of CBD stones on ERCP. Fifty-seven percent of patients referred for endoscopic evaluation after a positive IOC had CBD stones on ERCP. Patients with CBD stones after a positive IOC were more likely to be older with elevated post-cholecystectomy total serum bilirubin levels.

Indexed as

Common bile duct stoneendoscopic retrograde cholangiopancreatogra-phyendoscopic ultrasoundintraoperative cholangiogram

Identifiers

PMID24976807
PMCPMC4073535
OpenAlexW1916502060

What OpenQuestion holds

Textmetadata
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Registered trials

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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.