Evidence map›Paper›PMID 40027459›Full record

ArticleJournal of Brown hospital medicine2025

Biliary Dyskinesia with Reduced Gallbladder Ejection Fraction: A Diagnostic and Therapeutic Shift in Management.

Menna-Allah Elaskandrany, Mohamed Ismail, Yiyan Liu, Weizheng W Wang

Abstract readCase Reports
In one paragraph

Article in Journal of Brown hospital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

4 authors.

Menna-Allah ElaskandranyDepartment of Internal Medicine Lenox Hill Hospital.
Mohamed IsmailDepartment of Internal Medicine Rutgers New Jersey Medical School.
Yiyan LiuDepartment of Radiology University of Louisville.
Weizheng W WangDivision of Gastroenterology Rutgers New Jersey Medical School.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reduced gallbladder ejection fraction (GBEF) with normal laboratory tests and no gallstones on ultrasound can be attributed to conditions such as biliary dyskinesia, chronic acalculous cholecystitis, cystic duct syndrome, sphincter of Oddi dysfunction, and subclinical biliary stricture. We present a case of a patient with chronic right upper quadrant pain, diagnosed with reduced GBEF, normal labs, and no gallstones. The patient's symptoms resolved after endoscopic retrograde cholangiopancreatography and sphincterotomy, revealing a mild, non-obstructive stricture in the middle third of the common bile duct. This case underscores the importance of considering ERCP and sphincterotomy as diagnostic and therapeutic options before opting for cholecystectomy in patients with reduced GBEF and normal lab results, potentially avoiding unnecessary surgical interventions.

Indexed as

Biliary dyskinesiaFunctional gastrointestinal disordersMilwaukee classificationRome IVSphincter of Oddi

Identifiers

PMID40027459
PMCPMC11864417

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.