Evidence map›Paper›PMID 28643071›Full record

ArticleSurgical endoscopy2018

Forgotten biliary stents: ignorance is not bliss.

Saket Kumar, Abhijit Chandra, Rugved Kulkarni, Ajeet Pratap Maurya, Vishal Gupta

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

15 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
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  3. Review
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  7. Giant pancreatic stentolith after chronic transgastric pancreatic duct drainage.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025
    Article
  8. Article
  9. Article
  10. Outcome of forgotten biliary stents for more than five years-A two-decade experience.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Article
  11. Article
  12. Article
  13. Biliary stents are forgotten more frequently in elderly patientsTurkish journal of medical sciences · 2021
    Article
  14. Article
  15. Article
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

5 authors at 1 institution in 1 country.

Saket KumarDepartment of Surgical Gastroenterology, King George's Medical University, Lucknow, UP, India.
Abhijit ChandraDepartment of Surgical Gastroenterology, King George's Medical University, Lucknow, UP, India. abhijitchandra@hotmail.com.
Rugved KulkarniDepartment of Surgical Gastroenterology, King George's Medical University, Lucknow, UP, India.
Ajeet Pratap MauryaDepartment of Surgical Gastroenterology, King George's Medical University, Lucknow, UP, India.
Vishal GuptaDepartment of Surgical Gastroenterology, King George's Medical University, Lucknow, UP, India.
King George's Medical University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic biliary stenting is a common procedure in routine gastroenterology practice. Plastic stents are the most common type of stents used and are indicated mainly for short-term biliary drainage. Prolonged indwelling plastic stents can result in disastrous complications.

methodsWe conducted a retrospective analysis of patients who presented with complications of forgotten biliary stents in a tertiary care hospital during January 2010 to October 2016. All patients were managed either by endoscopic or surgical means. Details of these patients were obtained from departmental patient database, endoscopy records, and surgical register.

resultsA total of 21 cases of retained biliary stents were managed in the study period and their outcome was analyzed. The median age was 47 years (range 17-70 years) and 17 (80.9%) patients were female. Primary indication of biliary stenting was stone disease in 76.2% (n = 16), while benign biliary stricture accounted for 19% of cases (n = 4). Mean duration at presentation to hospital after ERCP stenting was 3.53 years (range 1-14 years), with cholangitis being the most common presentation (66.67%). Definitive endoscopic treatment for forgotten stent and its associated complication was possible only in five patients (23.8%); in remaining 16 (76.2%) cases, surgical exploration was required. Despite life-threatening complications and major surgical interventions, no mortality was recorded.

conclusionsInstances of forgotten biliary stents presenting with serious complications are not uncommon in Indian setup. Patients either ignore advice for timely stent removal or are unaware of the presence of endoprosthesis or need for removal. Adequate patient counseling, information, and proper documentation are essential to avoid this condition.

Indexed as

AdolescentAdultAgedBiliary Tract DiseasesBiliary Tract Surgical ProceduresEndoscopyFemaleHumansIndiaMaleMedical ErrorsMiddle AgedPostoperative ComplicationsRetrospective StudiesStentsTertiary Care CentersCholangitisEndoscopic biliary stentingForgotten stentStentolith

Identifiers

PMID28643071
OpenAlexW2633051409

What OpenQuestion holds

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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.