Evidence map›Paper›PMID 39247709›Full record

ArticleGastroenterology research2024

Pre-Cut Papillotomy Versus Endoscopic Ultrasound-Rendezvous for Difficult Biliary Cannulation: A Systematic Review and Meta-Analysis.

Amna Iqbal, Zohaib Ahmad, Muhammad Aziz, Abdulmajeed Alharbi, Hassam Ali, Ahmed Al-Chalabi, Manesh Kumar Gangwani, Dushyant Singh Dahiya, Wade Lee Smith, Shailendra Singh and 2 more

Abstract read
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In one paragraph

Article in Gastroenterology research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Amna IqbalDepartment of Internal Medicine, University of Toledo, Toledo, OH, USA.ORCID https://orcid.org/0000-0002-9768-2022
Zohaib AhmadDepartment of Gastroenterology and Hepatology, University of Toledo, Toledo, OH, USA.
Muhammad AzizDivision of Gastroenterology, Bon Secours Mercy Health, Toledo, OH, USA.
Abdulmajeed AlharbiDepartment of Internal Medicine, University of Toledo, Toledo, OH, USA.
Hassam AliDepartment of Gastroenterology and Hepatology, ECU Health Medical Center, Greenville, NC, USA.
Ahmed Al-ChalabiDepartment of Gastroenterology, Creighton University, Omaha, NE, USA.
Manesh Kumar GangwaniDepartment of Internal Medicine, University of Toledo, Toledo, OH, USA.
Dushyant Singh DahiyaDivision of Gastroenterology, Hepatology and Motility, The University of Kansas School of Medicine, Kansas City, KS, USA.
Wade Lee SmithUniversity of Toledo Libraries, Toledo, OH, USA.
Shailendra SinghDepartment of Gastroenterology and Hepatology, West Virginia University, Morgantown, WV, USA.
Yaseen AlastalDepartment of Gastroenterology and Hepatology, University of Toledo, Toledo, OH, USA.
Abdallah KobeissyDepartment of Gastroenterology and Hepatology, University of Toledo, Toledo, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Various endoscopic techniques are employed to achieve biliary cannulation when confronted with difficult biliary access. Every procedure carries its own risk in terms of bleeding, infection, pancreatitis, and cholangitis. Our meta-analysis aimed to compare pre-cut papillotomy and endoscopic ultrasound (EUS)-rendezvous in terms of technical success rates, and post-procedure pancreatitis and bleeding. Methods: We conducted a systematic review and meta-analysis of studies that compared pre-cut papillotomy and EUS-rendezvous. The primary outcome was technical success by achieving biliary cannulation. Secondary outcomes were postoperative pancreatitis and bleeding. A random-effects model was used to calculate the risk ratios (RRs) and confidence intervals (CIs). A P value < 0.05 was considered statistically significant. Results: Our meta-analysis included four studies comparing pre-cut papillotomy and EUS-rendezvous. The studies included 13,659 total endoscopic retrograde cholangiopancreatography (ERCP) procedures, of whom 1,004 patients underwent alternate biliary cannulation procedures due to difficult biliary cannulation. The mean age of the study population was noted to be 49.5 years and males represented 53.3% of the total participants. Both procedures were similar in terms of technical success (RR: 0.95, 95% CI (0.88, 1.02)). No difference was found between rates of post procedure pancreatitis (RR: 1.82, 95% CI (0.80, 4.15)) and post procedure bleeding (RR: 2.80, 95% CI (0.67, 11.66)). Conclusions: There was no difference in technical success of procedure or post-procedure complications such as pancreatitis and bleeding between pre-cut papillotomy and EUS-rendezvous technique. More randomized controlled trials (RCTs) are needed to compare both procedural techniques and complications rates. However, currently, both procedures are equally effective and safe during difficult biliary cannulation in the hands of experienced endoscopists.

Indexed as

Difficult biliary cannulationEndoscopic retrograde cholangiopancreatographyEndoscopic ultrasoundEUS-rendezvousPre-cut papillotomy

Identifiers

PMID39247709
PMCPMC11379043

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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.