Evidence map›Paper›PMID 31327033›Full record

ArticleLangenbeck's archives of surgery2019

Endoscopic treatment of biliary complications after duct-to-duct biliary anastomosis in pediatric liver transplantation.

M Harputluoglu, U Demirel, A R Caliskan, A Selimoglu, Y Bilgic, M Aladag, M A Erdogan, R Dertli, Y Atayan, S Yilmaz

Abstract read
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In one paragraph

Article in Langenbeck's archives of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. North American Biliary Stricture Management Strategies in Children After Liver Transplantation: A Multicenter Analysis From the Society of Pediatric Liver Transplantation (SPLIT) Registry.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2022
    Article
  3. Evaluation of Early and Late Complications of Pediatric Liver Transplantation with Multi-slice Computed Tomography: A High-Volume Transplant Single-Center Study.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2021
    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

10 authors.

M HarputluogluDepartment of Gastroenterology, Liver Transplantation Institute, Inonu University Medical Faculty, Malatya, Turkey. mharputluoglu@hotmail.com.
U DemirelDepartment of Gastroenterology, Firat University Medical Faculty, Elazig, Turkey.
A R CaliskanDepartment of Gastroenterology, Liver Transplantation Institute, Inonu University Medical Faculty, Malatya, Turkey.
A SelimogluDepartment of Pediatric Gastroenterology, Liver Transplantation Institute, Inonu University Medical Faculty, Malatya, Turkey.
Y BilgicDepartment of Gastroenterology, Liver Transplantation Institute, Inonu University Medical Faculty, Malatya, Turkey.
M AladagDepartment of Gastroenterology, Liver Transplantation Institute, Inonu University Medical Faculty, Malatya, Turkey.
M A ErdoganDepartment of Gastroenterology, Liver Transplantation Institute, Inonu University Medical Faculty, Malatya, Turkey.
R DertliDepartment of Gastroenterology, Necmettin Erbakan University Medical Faculty, Malatya, Turkey.
Y AtayanDepartment of Gastroenterology, Liver Transplantation Institute, Inonu University Medical Faculty, Malatya, Turkey.
S YilmazDepartment of General Surgery, Liver Transplantation Institute, Inonu University Medical Faculty, Malatya, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies reporting outcomes of endoscopic treatment methods in children who underwent liver transplantation (LT) is very limited. We present our outcomes, as a high-volume transplant center where endoscopic methods are preferred as the first choice in the treatment of biliary complications in children.

methodsPatients who underwent endoscopic retrograde cholangiopancreatography (ERCP) as the first treatment approach for biliary complications after LT between 2005 and 2017 were included. Clinical data included patient demographics, ERCP indications (stricture or leak), and treatment outcomes, including the need for percutaneous and surgical intervention.

resultsERCP was performed in 49 patients who had a duct-to-duct anastomosis (38 living donor liver transplantation (LDLT), 11 deceased donor liver transplantation (DDLT)). The most common biliary complication was stricture. Our endoscopic success rate was 66.7% (18/27) and 75% (6/8) in LDLT and DDLT patients with stricture (p > 0.05), respectively. While our endoscopic success rate was 75% (3/4) in patients with leak alone after LDLT, it was 25% (1/4) in patients with leak and stricture in this group. The endoscopic success rate was 50% in two patients who had leak alone after DDLT.

conclusionsERCP should be considered as a preferential treatment option for the management of biliary complications in pediatric liver transplant patients with duct-to-duct anastomosis, as in adults.

Indexed as

Anastomosis, SurgicalCholangiopancreatography, Endoscopic RetrogradeAdolescentBile DuctsChildChild, PreschoolFemaleHospitals, High-VolumeHumansLiver TransplantationMalePostoperative ComplicationsReoperationRetrospective StudiesBiliary complicationsEndoscopic retrograde cholangiopancreatographyLiver transplantationPediatrics

Identifiers

PMID31327033

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.