Evidence map›Paper›PMID 33605927›Full record

ArticleJournal of minimal access surgery

Difficult biliary stones in the elderly: Endoscopic retrograde cholangiography - A single surgical tertiary centre experience with follow-up.

Pavlos Antypas, Fabrizio Cereatti, Fausto Fiocca, Annalisa Cappello, Chiara Eberspacher, Gianfranco Fanello, Domenico Mascagni, Gianfranco Donatelli

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

Article in Journal of minimal access surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.1field-weighted citation impact, top 53% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

8 authors at 4 institutions in 2 countries.

Pavlos AntypasDepartment of Emergency, Endoscopy Unit, Policlinico Umberto I Sapienza University of Rome; Department of Surgical Sciences, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
Fabrizio CereattiDepartment of Medical, Gastroenterology and Endoscopy Unit, ASST Cremona, Cremona, Italy.
Fausto FioccaDepartment of Emergency, Endoscopy Unit, Policlinico Umberto I Sapienza University of Rome, Rome, Italy.
Annalisa CappelloDepartment of Emergency, Endoscopy Unit, Policlinico Umberto I Sapienza University of Rome, Rome, Italy.
Chiara EberspacherDepartment of Surgical Sciences, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
Gianfranco FanelloDepartment of Emergency, Endoscopy Unit, Policlinico Umberto I Sapienza University of Rome, Rome, Italy.
Domenico MascagniDepartment of Surgical Sciences, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
Gianfranco DonatelliInterventional Endoscopy Unit, Private Hospital Des Peupliers-Ramsay Santé, Paris, France.
Sapienza University of Rome · ITGénérale de Santé · FRIstituti Ospitalieri di Cremona · ITPoliclinico Umberto I · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreaticobiliary diseases and choledocholithiasis are common in elderly patients. Endoscopic treatment of biliary stones represents a well-established mini-invasive technique. However, limited data are available regarding the treatment of 'difficult' biliary stones, especially in the elderly population. The aim of our study is to evaluate the efficacy and safety of therapeutic endoscopic retrograde cholangiopancreatography (ERCP) in patients ≥85 years of age with complex biliary stones. MATERIALS AND

methodsFrom January 2015 to January 2017, data from ERCP procedures performed for complex biliary stones were retrospectively collected. The patients were divided into two groups based on their age: Group A - aged 85 years or older (n = 110) and Group B - aged 65 years or younger (n = 62). Demographic data, success, complications and recurrence rates for both groups were reported.

resultsChronic comorbidities (86.3% vs. 24.2%; P < 0.001) and use of antithrombotic drugs (48.2% vs. 19.3%; P < 0.001) were more frequent in the elderly. The technical success rate (95.4% vs. 96.7%; P > 0.6) and complication rate (8.2% vs. 13%; P > 0.2) were not statistically different among the two groups. Periampullary diverticula (PAD) were observed more frequently in Group A (38.1% vs. 17.7%; P < 0.006). More patients from Group B underwent cholecystectomy during the same admission (8.2% vs. 42.3%; P < 0.001). The recurrence rate was not different among the groups (7.6% vs. 5%; P > 0.5). PAD was identified as the risk factor for recurrence (P < 0.02).

conclusionERCP in the elderly was found to be a safe procedure, carrying a high degree of success for the treatment of difficult biliary stones.

Indexed as

Difficult biliary stoneselderlyendoscopic treatmentrecurrencetherapeutic endoscopic retrograde cholangiopancreatography

Identifiers

PMID33605927
PMCPMC8486058
OpenAlexW3128916257

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.