Evidence map›Paper›PMID 40597648›Full record

ArticleBMC gastroenterology2025

Timing and other factors influencing shortterm outcomes of endoscopic transpapillary gallbladder drainage for acute cholecystitis: a retrospective study.

Fumitaka Niiya, Naoki Tamai, Masataka Yamawaki, Jun Noda, Tetsushi Azami, Yuichi Takano, Fumiya Nishimoto, Masatsugu Nagahama

Abstract read
PubMed Full text at PMC Publisher
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. 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

8 authors.

Fumitaka NiiyaDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, Japan. f.niiya@med.showa-u.ac.jp.
Naoki TamaiDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, Japan.
Masataka YamawakiDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, Japan.
Jun NodaDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, Japan.
Tetsushi AzamiDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, Japan.
Yuichi TakanoDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, Japan.
Fumiya NishimotoDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, Japan.
Masatsugu NagahamaDivision of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic transpapillary gallbladder drainage (ETGBD) is used to manage acute cholecystitis (AC) in patients in whom surgery is contraindicated. However, ETGBD is considered challenging, has comparatively lower success rates, and is associated with severe adverse events (AEs). Only a few studies have examined the procedural and anatomical factors that affect the success of technical ETGBD. This study identified predictive factors for ETGBD in AC to improve success rates and minimize AEs.

methodsPatients treated with ETGBD for AC were assessed. Factors associated with technical failure were analyzed based on the interval from symptom onset to ETGBD, the presence of cystic duct stones, and cystic duct diameter.

resultsAmong 68 patients, the technical success and AE rates were 64.7% and 19.1%, respectively (cystic duct perforation, 8.8%; pancreatitis, 5.9%). Multivariate analysis revealed that early ETGBD and stone impaction in the cystic duct were significantly associated with technical ETGBD failure. Subgroup analysis demonstrated that early ETGBD was associated with a significantly higher risk of cystic duct perforation and a lower success rate than elective interventions. Thus, elective ETGBD may enhance procedural success and reduce the risk of cystic duct perforations.

conclusionElective ETGBD may be considered in cases in which ETGBD is anticipated to be challenging.

Indexed as

Cholecystitis, AcuteDrainageAdultAgedAged, 80 and overCystic DuctFemaleGallbladderHumansMaleMiddle AgedPancreatitisRetrospective StudiesTime FactorsTreatment OutcomeAcute cholecystitisEndoscopic transpapillary gallbladder drainageLaparoscopic cholecystectomyPostoperative adverse events

Identifiers

PMID40597648
PMCPMC12211661

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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.