Evidence map›Paper›PMID 29021470›Full record

ArticleInternal medicine (Tokyo, Japan)2017

EUS-guided Biliary Drainage for Malignant Perihilar Biliary Strictures after Further Transpapillary Intervention Has Been Judged to Be Impossible or Ineffective.

Yoshihide Kanno, Kei Ito, Shinsuke Koshita, Takahisa Ogawa, Kaori Masu, Hiroaki Kusunose, Toshitaka Sakai, Yoshiharu Masaki, Toji Murabayashi, Sho Hasegawa and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Loop technique for guidewire manipulation during endoscopic ultrasound-guided hepaticogastrostomy.JGH open : an open access journal of gastroenterology and hepatology · 2023
    Article
  5. Review
  6. Article
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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

14 authors at 3 institutions in 1 country.

Yoshihide KannoSendai City Medical Center, Japan.
Kei ItoSendai City Medical Center, Japan.
Shinsuke KoshitaSendai City Medical Center, Japan.
Takahisa OgawaSendai City Medical Center, Japan.
Kaori MasuSendai City Medical Center, Japan.
Hiroaki KusunoseSendai City Medical Center, Japan.
Toshitaka SakaiSendai City Medical Center, Japan.
Yoshiharu MasakiSendai City Medical Center, Japan.
Toji MurabayashiSendai City Medical Center, Japan.
Sho HasegawaSendai City Medical Center, Japan.
Fumisato KozakaiSendai City Medical Center, Japan.
Jun HoraguchiSendai City Medical Center, Japan.
Hidenori MatsuoKurokawa Hospital, Japan.
Yutaka NodaSendai City Medical Center, Japan.
Sendai Medical Center · JPKurosawa Hospital · JPMiyagi Prefectural Hospital Organization · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Patients with perihilar malignancy often develop recurrence of infectious cholangitis, which makes further transpapillary intervention extremely difficult. As endoscopic ultrasound (EUS)-guided biliary drainage (EUS-BD) of an intrahepatic bile duct is a possible option for additional intervention, the aim of this study was to estimate the feasibility of such intervention. Methods and Patients Patients who had undergone EUS-BD after further transpapillary intervention was deemed impossible or ineffective were investigated in this study. Those who had not received previous interventions via the papilla were excluded. Procedure-related adverse events, clinical efficacy, and time to recurrence of jaundice or infectious cholangitis transthyretin (TTR) were evaluated. Results Seven patients were eligible for the study between 2007 and 2016 (7 men; mean age, 77 years; 4 with perihilar cholangiocarcinoma and 3 with intrahepatic cholangiocarcinoma). No procedure-related adverse events were observed. EUS-BD was clinically effective and enabled hospital discharge in 4 patients (57%). The TTR in these 4 clinically effective patients was 43, 105, 118, and 147 days after the procedure (median, 112 days). Conclusion EUS-BD was found to be safe and often effective in patients in whom additional transpapillary intervention had become difficult, although its efficacy was limited to a short period.

Indexed as

AgedBile Duct NeoplasmsDrainageFemaleHumansKlatskin TumorMaleNeoplasm Recurrence, LocalStentsUltrasonography, InterventionalBismuthendosonographyhepaticogastrostomyhilarpercutaneousreintervention

Identifiers

PMID29021470
PMCPMC5742384
OpenAlexW2761550559

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.