Evidence map›Paper›PMID 41147105›Full record

ArticleClinical endoscopy2026

Incidence and risk factors for recurrence of common bile duct stones in patients undergoing endoscopic extraction without prophylactic biliary stenting and subsequent cholecystectomy: a retrospective study in Japan.

Hidehito Sumiya, Takahisa Ogawa, Shinsuke Koshita, Yoshihide Kanno, Hiroaki Kusunose, Toshitaka Sakai, Keisuke Yonamine, Kazuaki Miyamoto, Fumisato Kozakai, Haruka Okano and 3 more

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Article in Clinical endoscopy, 2026. 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

13 authors.

Hidehito SumiyaDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Takahisa OgawaDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Shinsuke KoshitaDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Yoshihide KannoDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Hiroaki KusunoseDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Toshitaka SakaiDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Keisuke YonamineDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Kazuaki MiyamotoDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Fumisato KozakaiDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Haruka OkanoDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Yuto MatsuokaDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Kento HosokawaDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Kei ItoDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients undergoing endoscopic extraction of common bile duct stones (CBDs) and subsequent cholecystectomy, CBDs sometimes recur during the preoperative and perioperative periods. In this study, the incidence and risk factors for CBDs recurrence were investigated.

methodsA total of 245 patients (mean age: 66 years; 138 men) who underwent cholecystectomy within 180 days of CBDs extraction between October 2017 and June 2023 were included. Recurrence was defined as the detection of the CBDs during the preoperative or perioperative period using imaging modalities such as computed tomography or re-endoscopic retrograde cholangiopancreatography, regardless of the presence of cholangitis.

resultsCBDs recurrence occurred in 4.1% of the patients (10/245). The median time to recurrence was 40 days. Preoperative recurrence was observed in nine patients, and only one patient had postoperative recurrence. Multivariate analysis identified cystic duct stones as the only significant risk factor for CBDs recurrence (hazard ratio, 15.6; 95% confidence interval, 3.7-66; p<0.001).

conclusionsThe risk of CBDs recurrence after endoscopic extraction during the pre and perioperative periods is high in patients with cystic duct stones. Prophylactic biliary stenting may be considered in high-risk patients.

Indexed as

CholangitisCholecystectomyCholedocholithiasisCystic ductEndoscopic retrograde cholangiopancreatography

Identifiers

PMID41147105
PMCPMC12933605

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