Evidence map›Paper›PMID 39796748›Full record

ReviewCancers2025

Pancreaticobiliary Maljunction and Its Relationship with Biliary Cancer: An Updated and Comprehensive Systematic Review and Meta-Analysis on Behalf of TROGSS-The Robotic Global Surgical Society.

Yeisson Rivero-Moreno, Aman Goyal, Victor Bolívar, Nnenna Osagwu, Sophia Echevarria, José Gasca-Insuasti, Freddy Pereira-Graterol, Dagny von Ahrens, Omar Felipe Gaytán Fuentes, Luis Osvaldo Suárez-Carreón and 7 more

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Observational
  8. Article
  9. Article
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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

17 authors.

Yeisson Rivero-MorenoMontefiore Medical Center, Department of Surgery, New York, NY 10451, USA.ORCID 0000-0002-9077-1460
Aman GoyalAdesh Institute of Medical Sciences and Research, Bathinda 151001, Punjab, India.ORCID 0000-0001-7336-1366
Victor BolívarMcGovern Medical School at UTHealth, Houston, TX 77002, USA.
Nnenna OsagwuSchool of Medicine, All Saints University, Roseau 5415, Dominica.
Sophia EchevarriaUniversidad Mayor de San Simon, Cochabamba E-0352, Bolivia.ORCID 0009-0005-6781-963X
José Gasca-InsuastiUniversidad Santiago de Cali, Cali 763531, Colombia.
Freddy Pereira-GraterolMinimal Invasive Unit, "Dr. Luís Razetti" University Hospital, Barcelona 6001, Venezuela.ORCID 0000-0002-9339-0567
Dagny von AhrensMontefiore Medical Center, Department of Surgery, New York, NY 10451, USA.
Omar Felipe Gaytán FuentesGeneral Surgery Department, "CMN 20 de Noviembre" ISSSTE, México City 03104, Mexico.ORCID 0000-0001-7813-4314
Luis Osvaldo Suárez-CarreónBariatric Surgical Services, UMAE Hospital de Especialidades del Centro Medico Nacional de Occidente, Guadalajara 44329, Mexico.
Miljana VladimirovDepartment of General and Visceral Surgery, Bielefeld University, Campus Lippe, 33604 Bielefeld, Germany.
Beniamino PascottoCentre Hospitalier de Luxembourg, 1210 Luxembourg, Luxembourg.ORCID 0000-0003-0864-9819
Juan Santiago AzagraCentre Hospitalier de Luxembourg, 1210 Luxembourg, Luxembourg.
Natale CalominoDepartment of Medicine, Surgery, and Neurosciences, University of Siena, 53100 Siena, Italy.ORCID 0000-0001-5426-5985
Adel Abou-MradDepartment of Surgery, Centre Hospitalier Universitaire d'Orléans, 45100 Orléans, France.ORCID 0000-0003-3408-4540
Luigi MaranoDepartment of Medicine, Surgery, and Neurosciences, University of Siena, 53100 Siena, Italy.ORCID 0000-0002-9777-9588
Rodolfo J OviedoDepartment of Surgery, Nacogdoches Medical Center, Nacogdoches, TX 75965, USA.ORCID 0000-0003-3784-6555

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis systematic review and meta-analysis aimed to determine the degree to which pancreaticobiliary maljunction (PBM) increases the risk of different types of biliary cancer (BC).

methodsA systematic review and meta-analysis were carried out using the following databases: PubMed, Embase, Cochrane Library, Scopus, Web of Science, and Science Direct. We systematically searched from inception to April 2024. The search terms included were derived from the keywords "Pancreaticobiliary Maljunction" OR "Anomalous Pancreaticobiliary Junction" AND "Cancer" OR "Malignancy". Studies that provided data comparing BC rates in relation to PBM presence or vice versa were included. The Newcastle-Ottawa Scale (NOS) was used for quality assessment. The random-effects model was used.

resultsFifteen studies were included with a total sample of 8604 patients, of whom 5015 (58.29%) were female with a mean age of 54.58 years. Patients with PBM had 8.42 (95% CI = 3.57-19.87) more risk of developing any type of BC, with a higher risk of GBC than BDC (OR = 16.91 vs. OR = 3.36,

conclusionsThere is a significant association between PBM and the risk of having BC, mainly GBC when compared to BDC. Most of the studies published reported data from Japanese patients, which limits the generalization of the results. The age of patients and sex were not significantly associated with the relation between PBM and BC. Further prospective studies in broader populations will provide additional details to take measures for screening and early management of PBM and BC.

Indexed as

bile ductbiliary cancergallbladderpancreatobiliary maljunction

Identifiers

PMID39796748
PMCPMC11719653

What OpenQuestion holds

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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.