Evidence map›Paper›PMID 40666022›Full record

ArticleACG case reports journal2025

Over-The-Scope Clip Misdeployment Resulting in Acute Cholangitis and Biliary Pancreatitis.

Aniruddha Srivastava, Luay M Almassalha, Laurens P Janssens, Srinadh Komanduri, Saad Saffo

Abstract readCase Reports
In one paragraph

Article in ACG case reports journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Aniruddha SrivastavaDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Luay M AlmassalhaDivision of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, IL.
Laurens P JanssensDivision of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, IL.
Srinadh KomanduriDivision of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, IL.
Saad SaffoDivision of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, IL.ORCID https://orcid.org/0000-0001-5375-3100

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over-the-scope clips (OTSCs) have improved the endoscopic management of acute nonvariceal upper gastrointestinal bleeding. They allow for effective hemostasis of high-risk lesions in challenging locations and have been shown to be superior to through-the-scope clips. However, misdeployment of OTSCs may be associated with obstructive complications. In this study, we present the case of a 67-year-old man who developed recurrent gastrointestinal bleeding from a duodenal ulcer. His course was ultimately complicated by acute cholangitis and pancreatitis from a misdeployed OTSC around the ampulla. Endoscopic management was pursued, and the clip was successfully retracted with resolution of his biliary obstruction and subsequent clinical improvement.

Indexed as

cholangitisendoscopygastrointestinal bleedingover-the-scope clippancreatitis

Identifiers

PMID40666022
PMCPMC12262945

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.