Evidence map›Paper›PMID 39228861›Full record

ArticleDEN open2025

Sedative effects of propofol and risk factors for excessive sedation in the endoscopic treatment of biliary and pancreatic diseases.

Yuta Maruki, Susumu Hijioka, Shin Yagi, Tetsuro Takasaki, Mark Chatto, Soma Fukuda, Daiki Yamashige, Kouhei Okamoto, Daiki Agarie, Hidenobu Hara and 6 more

Abstract read
In one paragraph

Article in DEN open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

16 authors.

Yuta MarukiDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.ORCID https://orcid.org/0000-0002-5045-8082
Susumu HijiokaDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.
Shin YagiDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.
Tetsuro TakasakiDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.
Mark ChattoDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.
Soma FukudaDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.
Daiki YamashigeDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.
Kouhei OkamotoDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.
Daiki AgarieDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.
Hidenobu HaraDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.
Yuya HagiwaraDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.
Yoshikuni NagashioDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.
Chigusa MorizaneDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.
Miyuki SoneDepartment of Diagnostic Radiology National Cancer Center Hospital Tokyo Japan.
Takuji OkusakaDepartment of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan.
Yutaka SaitoEndoscopy Division National Cancer Center Hospital Tokyo Japan.ORCID https://orcid.org/0000-0002-9574-7451

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The safety and effectiveness of propofol in more complex endoscopic procedures, such as endoscopic retrograde cholangiopancreatography, remain unknown. Thus, we aimed to evaluate propofol sedation during endoscopic cholangiopancreatography, ultrasound-guided intervention, and gastroduodenal stenting and examine risk factors for excessive sedation. Methods: We retrospectively analyzed data from 870 patients who underwent endoscopic treatment with propofol sedation for biliary and pancreatic disease between October 2020 and September 2021. Sedation included propofol and fentanyl, with continuous monitoring of vital signs and the bispectral index. The assessed risk factors included age, complications, body mass index, treatment duration, and specialty. Results: Distal bile duct treatment ( Conclusions: Obesity, sleep apnea syndrome, and prolonged procedure time are risk factors for excessive sedation related to propofol use. Thus, sedation techniques should be tailored for these patients.

Indexed as

biliary and pancreatic diseasesendoscopic cholangiopancreatographyendoscopic ultrasound‐guided interventionexcessive sedationpropofol

Identifiers

PMID39228861
PMCPMC11369203

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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.