Evidence map›Paper›PMID 39118745›Full record

ReviewAnnals of medicine and surgery (2012)2024

Acute cholangitis: a state-of-the-art review.

Matei-Alexandru Cozma, Mihnea-Alexandru Găman, Bahadar S Srichawla, Arkadeep Dhali, Muhammad Romail Manan, Ahmed Nahian, Mohammed Dheyaa Marsool Marsool, Richard Christian Suteja, Lakshmi Venkata Simhachalam Kutikuppala, Vincent Kipkorir and 2 more

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

12 authors.

Matei-Alexandru CozmaFaculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest.
Mihnea-Alexandru GămanFaculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest.
Bahadar S SrichawlaDepartment of Neurology, University of Massachusetts Chan Medical School, Worcester, MA.
Arkadeep DhaliNIHR Academic Clinical Fellow in Gastroenterology, University of Sheffield; Internal Medicine Trainee, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Muhammad Romail MananServices Hospital, Lahore, Pakistan.
Ahmed NahianMedical Student, LECOM at Seton Hill, Greensburg, PA, USA.
Mohammed Dheyaa Marsool MarsoolAl-Kindy College of Medicine, University of Baghdad, Al-Nahdha Square, Baghdad, Iraq.
Richard Christian SutejaMedical Student, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia.
Lakshmi Venkata Simhachalam KutikuppalaDepartment of General Surgery, Dr. YSR University of Health Sciences, Vijayawada, Andhra Pradesh, India.
Vincent KipkorirDepartment of Human Anatomy and Physiology, Faculty of Health Sciences, University of Nairobi, Nairobi, Kenya.
Amelia Maria GămanDepartment of Pathophysiology, University of Medicine and Pharmacy of Craiova.
Camelia Cristina DiaconuFaculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute cholangitis is a potentially life-threatening bacterial infection of the intra and/or extrahepatic bile ducts. It remains the second and third cause of community-acquired and hospital-acquired bacteremia, respectively, and is associated with mortality rates of up to 15%, despite advances in broad-spectrum antimicrobial therapy and improved access to emergency biliary tract decompression procedures. Even though not much has changed in recent years in terms of diagnosis or treatment, new data have emerged regarding multidrug-resistant bacteria that serve as etiologic agents of cholangitis. Moreover, different approaches in antibiotic regimes depending on severity grading and bile sample cultures as well as novel minimally invasive endoscopic procedures that can help when consecrated treatments such as endoscopic retrograde cholangiopancreatography (ERCP) fail, cannot be performed, or are unavailable have been proposed. This state-of-the-art review aims to offer a complete and updated assessment of the epidemiology, novel diagnostic and therapeutic methods, complications, and prognostic variables of acute cholangitis. The authors will review the prognostic implications of unusual complications, the relevance of regular bile samples and antibiograms, and their new role in guiding antibiotic therapy and limiting antibiotic resistance to present an organized and comprehensive approach to the care of acute cholangitis.

Indexed as

acute cholangitisantibiogramantibiotic resistancebile sample culturesgallstone disease

Identifiers

PMID39118745
PMCPMC11305776

What OpenQuestion holds

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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.