Evidence map›Paper›PMID 40694124›Full record

ArticlePediatric surgery international2025

Comparison of the current characteristics and management of congenital biliary dilatation with and without a fetal diagnosis: report of 231 consecutive cases from the Kyushu Pediatric Surgery Study Group in Japan over the past decade.

Masakazu Murakami, Keisuke Yano, Shohei Maeda, Takeshi Shirai, Yusuke Yamane, Taichiro Kosaka, Takafumi Kawano, Makoto Hayashida, Toshiharu Matsuura, Hiroto Eto and 6 more

Abstract readMulticenter StudyComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric surgery international, 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

16 authors.

Masakazu MurakamiDepartment of Pediatric Surgery, Medical and Dental Area, Research and Education Assembly, Research Field in Medical and Health Sciences, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima City, 890-8520, Japan.
Keisuke YanoDepartment of Pediatric Surgery, Medical and Dental Area, Research and Education Assembly, Research Field in Medical and Health Sciences, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima City, 890-8520, Japan.
Shohei MaedaDepartment of Pediatric Surgery, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Takeshi ShiraiDepartment of Pediatric Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan.
Yusuke YamaneDepartment of Surgery, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan.
Taichiro KosakaDepartment of Surgery, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan.
Takafumi KawanoDepartment of Pediatric Surgery, Medical and Dental Area, Research and Education Assembly, Research Field in Medical and Health Sciences, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima City, 890-8520, Japan.
Makoto HayashidaDepartment of Pediatric Surgery, Fukuoka Children's Hospital, Fukuoka, Japan.
Toshiharu MatsuuraDepartment of Pediatric Surgery, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Hiroto EtoDepartment of Pediatric Surgery, St. Mary's Hospital, Fukuoka, Japan.
Motofumi TorikaiDepartment of Pediatric Surgery, Kagoshima City Hospital, Kagoshima, Japan.
Yukihiro TatekawaDepartment of Pediatric Surgery, Nambu Medical Center & Children's Medical Center, Okinawa, Japan.
Takeshi YamanouchiDepartment of Pediatric Surgery, Saga-Ken Medical Centre Koseikan, Saga, Japan.
Taizo HibiDepartment of Pediatric Surgery and Transplantation, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan.
Tatsuro TajiriDepartment of Pediatric Surgery, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Satoshi IeiriDepartment of Pediatric Surgery, Medical and Dental Area, Research and Education Assembly, Research Field in Medical and Health Sciences, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima City, 890-8520, Japan. sieiri@m.kufm.kagoshima-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study is to investigate and to compare the current characteristics and management of congenital biliary dilatation (CBD) with and without fetal diagnosis (FD) based on a multicenter study at all institutions in Kyushu, Japan.

methodsA regional multicenter study was conducted among the institutions affiliated with the Kyushu Pediatric Surgery Study Group. Patients with CBD who underwent definitive surgery between 2014 and 2023 were enrolled.

resultsAll 28 affiliated institutions joined this multicenter study. There comprised 231 cases (Date collection rate: 100%), including 35 cases (15.2%) with an FD. Compared to cases without an FD, cases with an FD were significantly more frequently recognized in type Ia (p < 0.01), significantly less frequently recognized in type Ic (p = 0.04), and IV-A (p < 0.01), and showed a significantly lower frequency of preoperative cholangitis (p < 0.01) and pancreatitis (p < 0.01). Cases with an FD had significantly shorter operative times (p < 0.01). There were no significant differences in the frequency of postoperative and late postoperative complications between the patients with and without an FD.

conclusionCBD cases with an FD were more likely to be type Ia and less likely to have preoperative symptoms than those without an FD, with a comparable risk of postoperative complications.

Indexed as

Prenatal DiagnosisDilatation, PathologicFemaleHumansInfantInfant, NewbornJapanMalePostoperative ComplicationsRetrospective StudiesComplicationCongenital biliary dilatationFetal diagnosisManagement

Identifiers

PMID40694124
PMCPMC12283469

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.