Evidence map›Paper›PMID 37818098›Full record

ReviewDEN open2024

Recurrence of common bile duct stones after endoscopic clearance and its predictors: A systematic review.

Marko Kozyk, Suprabhat Giri, Sidharth Harindranath, Manan Trivedi, Kateryna Strubchevska, Rakesh Kumar Barik, Sridhar Sundaram

Open access · goldAbstract readReview
In one paragraph

Review in DEN open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 15 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

7 authors at 6 institutions in 2 countries.

Marko KozykDepartment of Internal Medicine Corewell Health William Beaumont University Hospital Royal Oak Michigan USA.
Suprabhat GiriDepartment of Gastroenterology & Hepatology Kalinga Institute of Medical Sciences Bhubaneswar India.ORCID https://orcid.org/0000-0002-9626-5243
Sidharth HarindranathDepartment of Gastroenterology Seth GS Medical College and KEM Hospital Mumbai India.
Manan TrivediDepartment of General Surgery KB Bhabha Hospital Mumbai India.
Kateryna StrubchevskaDepartment of Internal Medicine Corewell Health William Beaumont University Hospital Royal Oak Michigan USA.
Rakesh Kumar BarikDepartment of Gastroenterology Indian Institute of Gastroenterology and Hepatology Cuttack India.
Sridhar SundaramDepartment of Digestive Diseases and Clinical Nutrition Tata Memorial Hospital Mumbai India.ORCID https://orcid.org/0000-0002-2946-8534
Beaumont Hospital, Royal Oak · USAll India Institute of Medical Sciences Bhubaneswar · INBhabha Hospital · INCentral Rice Research Institute · INKing Edward Memorial Hospital and Seth G.S. Medical College · INTata Memorial Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The primary therapeutic strategy for the management of bile duct stones (BDS) is endoscopic retrograde cholangiopancreatography. However, there may be a recurrence of BDS on follow-up. Multiple risk factors have been studied for the prediction of BDS recurrence. We aimed to analyze the incidence of symptomatic BDS recurrence, systematically review the risk factors, and analyze the most important risk factors among those. Methods: A comprehensive search of three databases was conducted from inception to November 2022 for studies reporting the recurrence of BDS recurrence after endoscopic retrograde cholangiopancreatography with clearance, along with an analysis of risk factors. Results: A total of 37 studies with 12,952 patients were included in the final analysis. The pooled event rate for the recurrence of BDS stones was 12.6% (95% confidence interval: 11.2-13.9). The most important risk factor was a bile duct diameter ≥15 mm, which had a significant association with recurrence in twelve studies. Other risk factors with significant association with recurrence in three or more studies were the reduced angulation of the bile duct, the presence of periampullary diverticulum, type I periampullary diverticulum, in-situ gallbladder with stones, cholecystectomy, multiple stones in the bile duct, use of mechanical lithotripsy, and bile duct stent placement. Conclusion: Around one out of seven patients have BDS recurrence after the initial endoscopic retrograde cholangiopancreatography. Bile duct size and anatomy are the most important predictors of recurrence. The assessment of risk factors associated with recurrence may help keep a close follow-up in high-risk patients.

Indexed as

bile duct stonecholecystectomyERCPgallstone diseasemeta‐analysis

Identifiers

PMID37818098
PMCPMC10560705
OpenAlexW4387515705

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.