Evidence map›Paper›PMID 27838253›Full record

ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2016

A survey of European-African surgeons' management of common bile duct stones.

Marie Vannijvel, Mickael Lesurtel, Wim Bouckaert, Bert Houben, Joep Knol, Guido Vangertruyden, Gregory Sergeant

Abstract read
In one paragraph

Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. T-Tube Use After Laparoscopic Common Bile Duct Exploration.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Pooled it
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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.

Marie VannijvelDepartment of Abdominal Surgery, Jessa Ziekenhuis, Hasselt, Belgium.
Mickael LesurtelSwiss HPB Center, Department of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland; Department of General Surgery and Liver Transplantation, Croix-Rousse University Hospital, Hospices Civils de Lyon, University of Lyon I, Lyon, France.
Wim BouckaertDepartment of Abdominal Surgery, Jessa Ziekenhuis, Hasselt, Belgium.
Bert HoubenDepartment of Abdominal Surgery, Jessa Ziekenhuis, Hasselt, Belgium.
Joep KnolDepartment of Abdominal Surgery, Jessa Ziekenhuis, Hasselt, Belgium.
Guido VangertruydenDepartment of Abdominal Surgery, Jessa Ziekenhuis, Hasselt, Belgium.
Gregory SergeantDepartment of Abdominal Surgery, Jessa Ziekenhuis, Hasselt, Belgium; Faculty of Medicine and Life Sciences, Universiteit Hasselt, Hasselt, Belgium. Electronic address: gregory.sergeant@jessazh.be.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommon bile duct (CBD) stones can be managed by either endoscopic retrograde cholangiopancreatography (ERCP) or laparoscopic common bile duct exploration (LCBDE). The aim of this survey was to document the management of CBD stones by European-African HPB Association (E-AHPBA) members.

methodsAll 331 members of the E-AHPBA were invited by personal email to participate to an online survey.

resultsNinety-three (28%) surgeons replied within 2 months. Responding surgeons were attending surgeons (84%), working as HPB surgeons (75%) in academic hospitals (73%). In patients with clinically suspected CBD stones, MRCP was the preferred diagnostic test for 61% of respondents. LCBDE was the preferred therapeutic strategy for 11 (12%) respondents only. Previous gastric surgery was an absolute contraindication to ERCP for 47% of respondents. Absence of CBD dilation was considered an absolute contraindication for LCBDE in 24% of respondents. Yearly caseload exceeded 10 patients for only 30% of 56 centers performing LCBDE. The transcystic approach was preferred by 39% of surgeons performing LCBDE. There was considerable variation amongst respondents with regard to type and duration of drainage, bile duct closure technique and follow-up after LCBDE.

conclusionIndications for single-stage LCBDE are not standardized and do not appear well established across E-AHPBA members.

Indexed as

AdultAfricaCholangiopancreatography, Endoscopic RetrogradeCholecystectomy, LaparoscopicCholedocholithiasisEuropeGallstonesHealthcare DisparitiesHealth Care SurveysHumansMiddle AgedPractice Patterns, Physicians'SurgeonsTime FactorsTreatment OutcomeWorkload

Identifiers

PMID27838253
PMCPMC5144544

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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.