Evidence map›Paper›PMID 37901449›Full record

ReviewWorld journal of gastroenterology2023

Clinical approach to indeterminate biliary strictures: Clinical presentation, diagnosis, and workup.

Sujani Yadlapati, Ramzi Mulki, Sergio A Sánchez-Luna, Ali M Ahmed, Kondal Rao Kyanam Kabir Baig, Shajan Peter

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2023. 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
2.8field-weighted citation impact, top 9% 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, 11 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

6 authors at 2 institutions in 1 country.

Sujani YadlapatiDepartment of Gastroenterology and Hepatology, Indiana University Hospital, Indianapolis, IN 46202, USA. syadlapati@iuhealth.org.
Ramzi MulkiDepartment of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Sergio A Sánchez-LunaDepartment of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Ali M AhmedDepartment of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Kondal Rao Kyanam Kabir BaigDepartment of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Shajan PeterDepartment of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
University of Alabama at Birmingham · USIndiana University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite advances in cross-sectional imaging and endoscopic technology, bile duct strictures remain a challenging clinical entity. It is crucial to make an early determination of benign or malignant nature of biliary strictures. Early diagnosis not only helps with further management but also minimizes mortality and morbidity associated with delayed diagnosis. Conventional imaging and endoscopic techniques, particularly endoscopic retrograde cholangiopancreatography (ERCP) and tissue sampling techniques play a key in establishing a diagnosis. Indeterminate biliary strictures (IDBSs) have no definite mass on imaging or absolute histopathological diagnosis and often warrant utilization of multiple diagnostics to ascertain an etiology. In this review, we discuss possible etiologies, clinical presentation, diagnosis, and management of IDBSs. Based on available data and expert opinion, we depict an evidence based diagnostic algorithm for management of IDBSs. Areas of focus include use of traditional tissue sampling techniques such as ERCP with brush cytology, intraductal biopsies, fluorescence

Indexed as

CholestasisBiopsyCholangiopancreatography, Endoscopic RetrogradeConstriction, PathologicHumansIn Situ Hybridization, FluorescenceBenign stricturesBiliary samplingBiliary stricturesCholangioscopyIndeterminate biliary stricturesIndeterminate stricturesMalignant strictures

Identifiers

PMID37901449
PMCPMC10600956
OpenAlexW4386905171

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.