Evidence map›Paper›PMID 33712939›Full record

ArticleSurgical endoscopy2022

Endoscopic ultrasound-guided biliary drainage in benign biliary pathology with normal foregut anatomy: a multicenter study.

Jason G Bill, Marvin Ryou, Kelly E Hathorn, Pedro Cortes, John T Maple, Abdullah Al-Shahrani, Gabriel Lang, Daniel K Mullady, Koushik Das, Natalie Cosgrove and 7 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. 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

17 authors at 6 institutions in 1 country.

Jason G BillDivision of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA. Jason.g.bill@osfhealthcare.org.
Marvin RyouBrigham and Women's Hospital, Harvard Medical School, Boston, USA.
Kelly E HathornBrigham and Women's Hospital, Harvard Medical School, Boston, USA.
Pedro CortesBrigham and Women's Hospital, Harvard Medical School, Boston, USA.
John T MapleOklahoma University, Norman, USA.
Abdullah Al-ShahraniDivision of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA.
Gabriel LangDivision of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA.
Daniel K MulladyDivision of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA.
Koushik DasDivision of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA.
Natalie CosgroveDivision of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA.
Habeeb SalamehIcahn School of Medicine at Mt Sinai, New York, USA.
Nikhil A KumtaIcahn School of Medicine at Mt Sinai, New York, USA.
Christopher J DiMaioIcahn School of Medicine at Mt Sinai, New York, USA.
Hassaan ZiaOklahoma University, Norman, USA.
Jordan OrrVanderbilt University, Nashville, USA.
Patrick YachimskiVanderbilt University, Nashville, USA.
Vladimir M KushnirDivision of Gastroenterology, Washington University in Saint Louis, Saint Louis, USA.
Washington University in St. Louis · USIcahn School of Medicine at Mount Sinai · USBrigham and Women's Hospital · USUniversity of Oklahoma · USVanderbilt University · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsBiliary drainage using endoscopic ultrasound (EUS-BD) has been developed as a novel technique to obtain biliary access and drainage when ERCP fails. Numerous studies have demonstrated its safety and efficacy specifically pertaining to those with malignant distal biliary obstruction or altered foregut anatomy. The aim of this study is to evaluate the safety and efficacy of EUS-BD in benign indications in patients with normal foregut anatomy.

methodsWe performed a retrospective comparative study from 5 academic medical centers (2008-2018) involving patients with benign biliary obstruction and native foregut anatomy who had an initial failed ERCP with subsequent attempt at biliary decompression via EUS-BD or by repeating ERCP.

results36 patients (mean age 61.6 ± 2.2, 38.9% female) who underwent attempted EUS-BD following initial failed ERCP were compared to 50 patients (mean age 62.7 ± 2.3, 73.5% female) who underwent repeat ERCP following an initial failed cannulation. EUS-BD was technically successful in 28 (77.8%) patients with rendezvous being the most common approach (86.1%). A higher level of pre-procedural bilirubin was found to be associated with technical success of EUS-BD (3.65 ± 0.63 versus 1.1 ± 0.4, p value 0.04). Success of repeat ERCP following failed cannulation was 86%. Adverse events were significantly more frequent in the EUS-BD cohort when compared to the repeat ERCP (10 (27.8%) versus 4 (8.0%), p = 0.02, OR 4.32.

conclusionsEUS-BD remains a viable therapeutic option in the setting of benign biliary disease, with success rates of 77.8%. Adverse events were significantly more common with EUS-BD vs. repeat ERCP, emphasizing the need to perform in expert centers with appropriate multidisciplinary support and to strongly consider the urgency of biliary decompression before considering same session EUS-BD after failed initial biliary access.

Indexed as

Cholangiopancreatography, Endoscopic RetrogradeCholestasisDrainageEndosonographyFemaleHumansMaleRetrospective StudiesUltrasonography, InterventionalBiliary obstructionEUS guided biliary drainageFailed ERCP

Identifiers

PMID33712939
OpenAlexW3135801136

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.