Evidence map›Paper›PMID 40788467›Full record

ArticleClinical journal of gastroenterology2025

Electrohydraulic lithotripsy to treat retrieval net impaction during balloon endoscopy-assisted endoscopic retrograde cholangiopancreatography.

Akihiko Suenaga, Masatoshi Murakami, Nao Fujimori, Shuzaburo Nagatomo, Takahiro Ueda, Shotaro Kakehashi, Akihisa Ohno, Kazuhide Matsumoto, Keijiro Ueda, Yoshihiro Ogawa

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Clinical journal of gastroenterology, 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

10 authors.

Akihiko SuenagaDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Masatoshi MurakamiDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Nao FujimoriDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. fujimori.nao.239@m.kyushu-u.ac.jp.ORCID http://orcid.org/0000-0003-4286-8804
Shuzaburo NagatomoDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Takahiro UedaDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Shotaro KakehashiDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Akihisa OhnoDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Kazuhide MatsumotoDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Keijiro UedaDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Yoshihiro OgawaDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 55-year-old woman who had undergone extrahepatic bile duct resection and choledochojejunostomy for pancreatobiliary maljunction was admitted to our hospital with acute cholangitis caused by large intrahepatic bile duct stones. We performed direct peroral cholangioscopy using a double-balloon endoscope. After fragmenting the stones with a snare under direct visualization, we attempted to remove them using a retrieval net, which led net impaction. To address this, we inserted the electrohydraulic lithotripsy probe-known for its lack of rigidity-into the working channel via an endoscopic retrograde cholangiopancreatography catheter, enabling electrohydraulic lithotripsy under direct visualization, without scope removal, and complete stone removal. This case demonstrated successful stone dislodgement with electrohydraulic lithotripsy, highlighting an innovative probe insertion method. Owing to the complexity of balloon endoscopy-assisted endoscopic retrograde cholangiopancreatography, more careful instrument selection is crucial than in conventional endoscopic retrograde cholangiopancreatography. Electrohydraulic lithotripsy proved to be effective in managing stone impaction during balloon endoscopy-assisted endoscopic retrograde cholangiopancreatography.

Indexed as

Cholangiopancreatography, Endoscopic RetrogradeGallstonesLithotripsyCholangitisFemaleHumansMiddle AgedBalloon endoscopy-assisted endoscopic retrograde cholangiopancreatographyElectrohydraulic lithotripsyNet impactionStone impaction

Identifiers

PMID40788467

What OpenQuestion holds

Textmetadata
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.