Evidence map›Paper›PMID 33778398›Full record

ArticleTurkish journal of surgery2020

Hepatolithiasis: clinical series, review and current management strategy.

Osman Nuri Dilek, Ahmet Atasever, Nihan Acar, Şebnem Karasu, Emine Özlem Gür, Oğuzhan Özşay, Hakan Çamyar, Fatma Hüsniye Dilek

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Article in Turkish journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Osman Nuri DilekDepartment of Surgery, İzmir Katip Çelebi University School of Medicine, İzmir, Turkey.
Ahmet AtaseverDepartment of Surgery, İzmir Katip Çelebi University School of Medicine, İzmir, Turkey.
Nihan AcarDepartment of Surgery, İzmir Katip Çelebi University School of Medicine, İzmir, Turkey.
Şebnem KarasuDepartment of Radiology, İzmir Katip Çelebi University School of Medicine, İzmir, Turkey.
Emine Özlem GürDepartment of Surgery, İzmir Katip Çelebi University School of Medicine, İzmir, Turkey.
Oğuzhan ÖzşayDepartment of Surgery, İzmir Katip Çelebi University School of Medicine, İzmir, Turkey.
Hakan ÇamyarDepartment of Gastroenterology, İzmir Katip Çelebi University, Atatürk Training and Research Hospital, İzmir, Turkey.
Fatma Hüsniye DilekDepartment of Pathology, İzmir Katip Çelebi University School of Medicine, İzmir, Turkey.
Izmir Kâtip Çelebi University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHepatolithiasis (HL) continues to be a problem due to its local and systemic complications, insufficiency in treatment modalities and high risk of recurrence. There are various surgical options available, ranging from endoscopic interventions to a small segment resection and ultimately to transplantation. In this article, patients with the diagnosis of HL and our treatment strategies were evaluated in the light of literature. MATERIAL AND

methodsThe patients diagnosed with HL in our clinic between 2014-2019 were evaluated retrospectively by examining the patient files. Demographic characteristics of the patients, causes of the disease, complications and treatment options were evaluated.

results17 patients were included into the study. Mean age of the patients was 64.3 years (range 32-89 years). Seven patients had previous cholecystectomies. Stenosis was found to be developed in hepaticojejunostomy (HJ) site in three patients (two had HJ due to bile duct injury and one had HJ following the Whipple procedure), and in hepaticoduodenostomy site in one patient who had the history of biliary tract injury during cholecystectomy. Two patients with HL without previous cholecystectomies had no gallbladder stones. Nine patients underwent surgery. Left hepatectomy was performed in two patients and lateral sector resection was performed in 2 patients. Two patients with anastomotic stenosis underwent HJ revision and two patients with anastomotic stenosis and one patient with stent ingrowth underwent bifurcation resection and neo-hepaticojejunostomy. Eight patients were followed-up nonoperatively with medical and endoscopic approaches.

conclusionHepatolithiasis is a serious condition that needs to be treated with a multimodal approach. Stenting and anastomotic stenosis facilitate the development of hepatolithiasis and increase the risk of its occurrence. In particular, by performing functional hepaticojejunostomy, the development of this complication will be decreased.

Indexed as

Anastomosisbile duct strictureetiologyhepatolithiasistreatment

Identifiers

PMID33778398
PMCPMC7963303
OpenAlexW3116963993

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.