Evidence map›Paper›PMID 40251481›Full record

ArticleBMC gastroenterology2025

Effect of biliopancreatic tree anatomy on development of acute gallstone pancreatitis.

Ahmet Sukru Alparslan, Serkan Ocal, Osman Cagin Buldukoglu, Galip Egemen Atar, Lutfullah Zahit Koc, Merve Eren Durmus, Serdar Akca, Ferda Akbay Harmandar, Ayhan Hilmi Cekin

Abstract read
In one paragraph

Article in BMC gastroenterology, 2025. 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

9 authors.

Ahmet Sukru AlparslanDepartment of Radiology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey.
Serkan OcalDepartment of Gastroenterology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey.
Osman Cagin BuldukogluDepartment of Gastroenterology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey. cbuldukoglu@hotmail.com.ORCID https://orcid.org/0000-0003-4230-1015
Galip Egemen AtarDepartment of Gastroenterology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey.
Lutfullah Zahit KocDepartment of Internal Medicine, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey.
Merve Eren DurmusDepartment of Gastroenterology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey.
Serdar AkcaDepartment of Gastroenterology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey.
Ferda Akbay HarmandarDepartment of Gastroenterology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey.
Ayhan Hilmi CekinDepartment of Gastroenterology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute pancreatitis (AP) is a complex disorder with gallstones being the most common underlying cause. Anatomical variations of gallbladder, cystic duct (CD), common bile duct and main pancreatic duct and their courses and interactions with each other have been studied and shown to be related to development of AP in various studies. With this study, we aimed to investigate the relationship between biliopancreatic tree anatomy and acute gallstone pancreatitis. MATERIALS AND

methods157 gallstone related AP patients and 75 control group patients were enrolled in the study. The level at which cystic duct opened to common bile duct (as in proximal-mid-distal 1/3) and type of cystic duct course and opening (parallel to CBD, perpendicular to CBD, straight anatomy, tortuous anatomy) were evaluated from MRCP scans. Additionally, diameters of main pancreatic duct, common bile duct and angles between main pancreatic duct-common bile duct and cystic duct-common bile duct were calculated.

resultsAll investigated parameters except CD opening angle were statistically significantly different between two groups. MPD opening angle was more acute in the control group. Parallel and tortuous CD was more common in the patient group. Patients with acute gallstone pancreatitis were more likely to have CD opening to the second and third parts of CBD.

conclusionAnatomy of the biliopancreatic tree and its variations are related to acute gallstone pancreatitis. Several proposed mechanism are thought to play role in this phenomenon but future prospective studies are required to reveal more on the topic.

Indexed as

Common Bile DuctCystic DuctGallbladderGallstonesPancreatic DuctsPancreatitisAcute DiseaseAdultAgedCase-Control StudiesCholangiopancreatography, Magnetic ResonanceFemaleHumansMaleMiddle AgedAcute pancreatitisBiliary ductBiliopancreatic anatomyGallstonePancreatic duct

Identifiers

PMID40251481
PMCPMC12007255

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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.