Evidence map›Paper›PMID 40576716›Full record

ArticleDigestive diseases and sciences2025

Minimal Endoscopic Sphincterotomy with Papillary Balloon Dilation Using a Novel Non-slip Balloon Catheter for the Treatment of Common Bile Duct Stones: A Prospective Pilot Study.

Tadahisa Inoue, Rena Kitano, Tomoya Kitada, Shun Futagami, Masato Yano, Kazumasa Sakamoto, Satoshi Kimoto, Jun Arai, Kiyoaki Ito

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Article in Digestive diseases and sciences, 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.

Tadahisa InoueDepartment of Gastroenterology, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan. tinoue-tag@umin.ac.jp.
Rena KitanoDepartment of Gastroenterology, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.
Tomoya KitadaDepartment of Gastroenterology, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.
Shun FutagamiDepartment of Gastroenterology, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.
Masato YanoDepartment of Gastroenterology, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.
Kazumasa SakamotoDepartment of Gastroenterology, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.
Satoshi KimotoDepartment of Gastroenterology, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.
Jun AraiDepartment of Gastroenterology, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.
Kiyoaki ItoDepartment of Gastroenterology, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic sphincterotomy (ES) with minimal incision followed by balloon dilation (ESBD) is a promising hybrid technique for the treatment of common bile duct (CBD) stones. However, balloon slippage during dilation can occur easily following ES due to partially opened papillae. This study aimed to examine the clinical utility of ESBD using a novel non-slip balloon catheter.

methodsThis prospective pilot study included 100 eligible patients with CBD stones measuring ≤ 11 mm. The study outcomes included the rates of technical success, adverse events (AEs), use of mechanical lithotripsy (ML), and successful stone removal associated with ESBD using a novel balloon catheter.

resultsThe procedure was performed by trainees in 93% of the study cohort. ESBD was successful in 99% of the patients, while successful ESBD on the first inflation attempt without slippage was achieved in 98% of the patients. The median procedure time for ESBD, including the 2-min dilation hold time, was 4 min. The rate of successful and complete stone removal in the first session was 98%. ML was required in 7% of the cases. The median procedure time for stone removal was 8 min. The procedure-related AE rate was 3%.

conclusionsESBD using the novel non-slip balloon achieved high procedural success and complete stone removal rates with very low rates of balloon slippage, AE, and ML use, even when the majority of procedures were performed by trainees.

Indexed as

CathetersDilatationGallstonesSphincterotomy, EndoscopicAdultAgedAged, 80 and overFemaleHumansLithotripsyMaleMiddle AgedPilot ProjectsProspective StudiesTreatment OutcomeCommon bile duct stoneEndoscopic papillary balloon dilationendoscopic sphincterotomyNonslipSlippage

Identifiers

PMID40576716

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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.