Evidence map›Paper›PMID 40547547›Full record

ArticleWorld journal of gastrointestinal endoscopy2025

Long-term outcomes of post-transplant biliary anastomotic strictures: Endoscopic therapy with plastic and metal stents.

Larissa Wermelinger Pinheiro, Fernanda Prata Martins, Angelo Paulo Ferrari, Edmar Tafner, Gustavo Andrade De Paulo, Ermelindo Della Libera

Abstract read
In one paragraph

Article in World journal of gastrointestinal endoscopy, 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

6 authors.

Larissa Wermelinger PinheiroGastroenterology Division of Escola Paulista de Medicina, São Paulo Federal University, São Paulo 04039-032, Brazil.
Fernanda Prata MartinsDigestive Endoscopy Unit, Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil.
Angelo Paulo FerrariGastroenterology Division of Escola Paulista de Medicina, São Paulo Federal University, São Paulo 04039-032, Brazil.
Edmar TafnerDigestive Endoscopy Unit, Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil.
Gustavo Andrade De PauloDigestive Endoscopy Unit, Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil.
Ermelindo Della LiberaGastroenterology Division of Escola Paulista de Medicina, São Paulo Federal University, São Paulo 04039-032, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiliary anastomotic stricture (BAS) occurs in approximately 14%-20% of patients post-orthotopic liver transplantation (post-OLT). Endoscopic retrograde cholangiopancreatography (ERCP) using multiple plastic stents (MPSs) or fully covered self-expandable metal stents (cSEMSs) represent the standard treatment for BAS post-OLT. Recently, cSEMSs have emerged as the primary option for managing BAS post-OLT.

aimTo compare the resolution and recurrence of BAS rates in these patients.

methodsThis retrospective cohort study was conducted in a single tertiary care center (Hospital Israelita Albert Einstein, São Paulo, Brazil). We reported the results of endoscopic therapy in patients with post-OLT BAS between 2012 and 2022. Patients were stratified into two groups according to therapy: (1) MPSs; and (2) cSEMSs. Primary endpoints were to compare stricture resolution and recurrence among the groups. The secondary endpoint was to identify predictive factors for stricture recurrence.

resultsA total of 104 patients were included. Overall stricture resolution was 101/104 (97.1%). Stricture resolution was achieved in 83/84 patients (99%) in the cSEMS group and 18/20 patients (90%) in the MPS group (

conclusioncSEMSs and MPSs were effective and comparable regarding BAS post-OLT resolution and recurrence. The number of ERCP procedures and complications were predictors of stricture recurrence.

Indexed as

BenignBiliary strictureEndoscopic retrograde cholangiopancreatographyLiver transplantationStents

Identifiers

PMID40547547
PMCPMC12179921

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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.