Evidence map›Paper›PMID 37915764›Full record

ArticleDEN open2024

Factors predicting technical failure of endoscopic transpapillary gallbladder drainage for acute cholecystitis.

Noriyuki Hirakawa, Kenjiro Yamamoto, Atsushi Sofuni, Takayoshi Tsuchiya, Kentaro Ishii, Reina Tanaka, Ryosuke Tonozuka, Shuntaro Mukai, Kazumasa Nagai, Yukitoshi Matsunami and 5 more

Abstract read
In one paragraph

Article in DEN open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Review
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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

15 authors.

Noriyuki HirakawaDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.ORCID https://orcid.org/0000-0002-6150-7134
Kenjiro YamamotoDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
Atsushi SofuniDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
Takayoshi TsuchiyaDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
Kentaro IshiiDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
Reina TanakaDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
Ryosuke TonozukaDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
Shuntaro MukaiDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
Kazumasa NagaiDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
Yukitoshi MatsunamiDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
Hiroyuki KojimaDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
Hirohito MinamiDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
Ryosuke NakatsuboDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
Kyoko AsanoDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
Takao ItoiDepartment of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Endoscopic transpapillary gallbladder drainage (ETGBD) is a highly technical procedure, but few studies have evaluated factors that predict its technical success. Therefore, in this study, we sought to identify predictors of technically successful ETGBD. Methods: One hundred and eighty-two patients who underwent ETGBD for acute cholecystitis at our hospital were retrospectively investigated. Factors associated with technical failure were identified by focusing on clinical characteristics, anatomical features (direction of the cystic duct branch and course of the cystic duct), and procedural factors (cystic duct and gallbladder with or without contrast and cystic duct injury). Results: The technical success rate was 84.6% (154/182) and the clinical success rate was 96.1% (148/154). The adverse event rate was 11.0% (20/182; cystic duct injury in 13 patients, pancreatitis in six, and liver abscess in one. Univariate and multivariate analyses identified the right cranial direction and spiral-type course of the cystic duct to be significant anatomical features and cystic duct injury to be a significant procedural feature contributing to the technical failure of ETGBD. Conclusions: ETGBD is a highly practical procedure for patients with acute cholecystitis. However, difficulty is encountered in some cases because of anatomical and procedural factors. Our results suggest that ETGBD may be difficult and thus should not be performed in cases with the right cranial direction or spiral-type course of the cystic duct or those with cystic duct injury.

Indexed as

cholecystitisendoscopic gallbladder stentingendoscopic nasogallbladder drainagegallbladdertranspapillary gallbladder drainage

Identifiers

PMID37915764
PMCPMC10616688

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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.