Evidence map›Paper›PMID 38399627›Full record

ReviewMedicina (Kaunas, Lithuania)2024

Endoscopic Management of Difficult Biliary Stones: An Evergreen Issue.

Magdalini Manti, Jimil Shah, Apostolis Papaefthymiou, Antonio Facciorusso, Daryl Ramai, Georgios Tziatzios, Vasilios Papadopoulos, Konstantina Paraskeva, Ioannis S Papanikolaou, Konstantinos Triantafyllou and 5 more

Abstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Latest Advances in Pancreatobiliary Endoscopy.Medicina (Kaunas, Lithuania) · 2025
    Article
  7. Review
  8. Article
  9. Article
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.

Magdalini MantiDepartment of Gastroenterology, "Konstantopoulio-Patision" General Hospital of Nea Ionia, 14233 Athens, Greece.
Jimil ShahDepartment of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
Apostolis PapaefthymiouEndoscopy Unit, Cleveland Clinic London, London SW1X 7HY, UK.ORCID 0000-0002-3563-4973
Antonio FacciorussoGastroenterology Unit, Department of Medical Sciences, University of Foggia, 00161 Foggia, Italy.ORCID 0000-0002-2107-2156
Daryl RamaiGastroenterology and Hepatology, University of Utah Health, Salt Lake City, UT 84132, USA.
Georgios TziatziosDepartment of Gastroenterology, "Konstantopoulio-Patision" General Hospital of Nea Ionia, 14233 Athens, Greece.ORCID 0000-0002-2945-6007
Vasilios PapadopoulosDepartment of Gastroenterology, General University Hospital of Larissa, 41110 Larissa, Greece.ORCID 0000-0002-1277-6362
Konstantina ParaskevaDepartment of Gastroenterology, "Konstantopoulio-Patision" General Hospital of Nea Ionia, 14233 Athens, Greece.
Ioannis S PapanikolaouHepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutic, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, 12462 Athens, Greece.ORCID 0000-0002-7368-6168
Konstantinos TriantafyllouHepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutic, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, 12462 Athens, Greece.ORCID 0000-0002-5183-9426
Marianna ArvanitakisDepartment of Gastroenterology, Hepatopancreatology, and Digestive Oncology, University Hospital of Brussels (HUB), 1070 Brussels, Belgium.
Livia ArchibugiPancreato-Biliary Endoscopy and Endosonography Division, Vita-Salute San Raffaele University, 20132 Milan, Italy.ORCID 0000-0003-3979-9553
Giuseppe VanellaPancreato-Biliary Endoscopy and Endosonography Division, Vita-Salute San Raffaele University, 20132 Milan, Italy.ORCID 0000-0001-7280-1761
Marcus HollenbachMedical Department II, Division of Gastroenterology, University of Leipzig Medical Center, D-04103 Leipzig, Germany.ORCID 0000-0002-2654-3164
Paraskevas GkolfakisDepartment of Gastroenterology, "Konstantopoulio-Patision" General Hospital of Nea Ionia, 14233 Athens, Greece.ORCID 0000-0002-9677-4013

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Choledocholithiasis is one of the most common indications for endoscopic retrograde cholangiopancreatography (ERCP) in daily practice. Although the majority of stones are small and can be easily removed in a single endoscopy session, approximately 10-15% of patients have complex biliary stones, requiring additional procedures for an optimum clinical outcome. A plethora of endoscopic methods is available for the removal of difficult biliary stones, including papillary large balloon dilation, mechanical lithotripsy, and electrohydraulic and laser lithotripsy. In-depth knowledge of these techniques and the emerging literature on them is required to yield the most optimal therapeutic effects. This narrative review aims to describe the definition of difficult bile duct stones based on certain characteristics and streamline their endoscopic retrieval using various modalities to achieve higher clearance rates.

Indexed as

CholedocholithiasisGallstonesCatheterizationCholangiopancreatography, Endoscopic RetrogradeHumansTreatment OutcomecholangioscopycholedocholithiasisERCPmechanical lithotripsysphincteroplasty

Identifiers

PMID38399627
PMCPMC10890215

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.