Evidence map›Paper›PMID 37736472›Full record

ArticleCureus2023

The Conservative Management of Choledocholithiasis With Ursodeoxycholic Acid.

Daniel O Oluboyede, Mansoor Zafar, Farah Shirazi, Kevin Dsouza, Abdulmoen Abdulkarim, Kadir Hacikurt, Mark Whitehead

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Diseases of bile duct in children.World journal of gastroenterology · 2024
    Review
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

7 authors at 4 institutions in 2 countries.

Daniel O OluboyedeInternal Medicine, Conquest Hospital, East Sussex Healthcare NHS Trust, St Leonards-on-Sea, GBR.
Mansoor ZafarGastroenterology, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, GBR.
Farah ShiraziInternal Medicine, Conquest Hospital, East Sussex Healthcare NHS Trust, St Leonards-on-Sea, GBR.
Kevin DsouzaInternal Medicine, Conquest Hospital, East Sussex Healthcare NHS Trust, St Leonards-on-Sea, GBR.
Abdulmoen AbdulkarimInternal Medicine, Conquest Hospital, East Sussex Healthcare NHS Trust, St Leonards-on-Sea, GBR.
Kadir HacikurtRadiology, Conquest Hospital, East Sussex Healthcare NHS Trust, St Leonards-on-Sea, GBR.
Mark WhiteheadGastroenterology, Conquest Hospital, East Sussex Healthcare NHS Trust, St Leonards-on-Sea, GBR.
Charing Cross Hospital · GBConquest Hospital · GBImperial College Healthcare NHS Trust · GBJinnah Medical & Dental College · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Choledocholithiasis has been defined as the presence of stones within the common bile duct (CBD) with up to one-half of the cases remaining asymptomatic. We report a case of an 84-year-old frail male admitted for the treatment of pneumonia, pleural effusion, and bacteraemia with co-incidental deranged liver function tests (LFTs). Ensuing magnetic resonance cholangiopancreatography (MRCP) noted three CBD stones; however, the patient remained asymptomatic. After discussing the benefits and risks of treatment options with the gastroenterology team, the patient refused endoscopic retrograde cholangiopancreatography (ERCP) and opted for close monitoring in the community whilst taking ursodeoxycholic acid (UDCA). In the months following, his LFTs normalised, and repeat MRCP no longer showed stones. This case demonstrates that UDCA with close monitoring may be considered a non-invasive alternative treatment of CBD stones, particularly in elderly or frail patients with multiple comorbidities.

Indexed as

choledocholithiasisderanged liver function testselderly patientsercpfrailtyursodeoxycholic acid (udca)

Identifiers

PMID37736472
PMCPMC10510569
OpenAlexW4386032045

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.