Evidence map›Paper›PMID 39285860›Full record

ArticleEndoscopy international open2024

The updated Asia-Pacific consensus statement on the role of endoscopic management in malignant hilar biliary obstruction.

Phonthep Angsuwatcharakon, Santi Kulpatcharapong, Alan Chuncharunee, Christopher Khor, Benedict Devereaux, Jong Ho Moon, Thawee Ratanachu-Ek, Hsiu Po Wang, Nonthalee Pausawasdi, Amit Maydeo and 16 more

Abstract read
In one paragraph

Article in Endoscopy international open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 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

26 authors.

Phonthep AngsuwatcharakonDivision of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and Excellence Center for Gastrointestinal Endoscopy, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.ORCID 0000-0001-6924-2794
Santi KulpatcharapongDivision of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and Excellence Center for Gastrointestinal Endoscopy, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Alan ChuncharuneeDivision of Gastroenterology and Hepatology, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Christopher KhorDepartment of Gastroenterology and Hepatology, Singapore General Hospital, and Duke-NUS Medical School, Singapore, Singapore.
Benedict DevereauxRoyal Brisbane and Women's Hospital, University of Queensland, Brisbane, Australia.
Jong Ho MoonDepartment of Gastroenterology, SoonChunHyang University School of Medicine, Bucheon, Korea.
Thawee Ratanachu-EkSurgery, Rajavithi Hospital, Bangkok, Thailand.
Hsiu Po WangDivision of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine, National Taiwan University and Hospital, Taipei, Taiwan.
Nonthalee PausawasdiDivision of Gastroenterology, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Amit MaydeoBaldota Institute of Digestive Sciences, Gleneagles Global Hospital, Mumbai, Maharashtra, India.ORCID 0000-0003-1687-4936
Takao ItoiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Ryan PonnuduraiDepartment of Gastroenterology, Prince Court Medical Centre, Kuala Lumpur, Malaysia.
Mohan RamchandaniAsian Institute of Gastroenterology, Hyderabad, India.
Yousuke NakaiDepartment of Internal Medicine, Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan.ORCID 0000-0001-7411-1385
Dong Wan SeoDepartment of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea.
Takeshi OguraEndoscopy Center, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Raymond Sy TangDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China.
Pradermchai KongkamDivision of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and Excellence Center for Gastrointestinal Endoscopy, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.ORCID 0000-0001-5798-9217
Dadang MakmunDivision of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.
Frederick DyUniversity of Santo Tomas Hospital, Manila, Philippines.
Wiriyaporn RidtitidDivision of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and Excellence Center for Gastrointestinal Endoscopy, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.ORCID 0000-0002-6736-4402
Yu Ting KuoDivision of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine, National Taiwan University and Hospital, Taipei, Taiwan.
Khanh Cong PhamUniversity Medical Center at Ho Chi Minh city, Ho Chi Minh, Viet Nam.
Borathchakra OungDepartment of Gastroenterology, Calmette Hospital, Phnom Penh, Cambodia.
Jeffrey LeeDepartment of Gastroenterology, Hepatology, and Nutrition, The University of Texas MD Anderson Cancer Center, Texas, USA.
Rungsun RerknimitrDivision of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and Excellence Center for Gastrointestinal Endoscopy, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.ORCID 0000-0001-6866-6886

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The first Asia-Pacific consensus recommendations for endoscopic and interventional management of hilar cholangiocarcinoma were published in 2013. Since then, new evidence on the role of endoscopy for management of malignant hilar biliary obstruction (MHBO) has emerged. To update the recommendation, we reviewed the literature using a PICO (population/intervention/comparison/outcomes) framework and created consensus statements. The expert panel voted anonymously using the modified Delphi method and all final statements were evaluated for the quality of evidence and strength of recommendation. The important points with inadequate supporting evidence were classified as key concepts. There were seven statements and five key concepts that reached consensus. The statements and key concepts dealt with multiple aspects of endoscopy-based management in MHBO starting from diagnosis, strategies and options for biliary drainage, management of recurrent biliary obstruction, management of cholecystitis after biliary stenting, and adjunctive treatment before stenting. Although the recommendations may assist physicians in planning the treatment for MHBO patients, they should not replace the decision of a multidisciplinary team in the management of individual patients.

Indexed as

Biliary tractEndoscopic ultrasonographyERC topicsIntervention EUSPancreatobiliary (ERCP/PTCD)StricturesTissue diagnosis

Identifiers

PMID39285860
PMCPMC11405119

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.