Evidence map›Paper›PMID 41164332›Full record

ArticleRespirology case reports2025

Successful Bronchial Occlusion With an Endobronchial Watanabe Spigot Using a Single-Use Bronchoscope for Bronchobiliary Fistula: A Case Report.

Nanako Akiyama, Hiroki Wakabayashi, Ryogo Ohashi, Kensuke Namba, Misa Iwayanagi, Hiromasa Sakurai, Yusuke Irie, Daiki Sakai, Kenta Takashima, Yu Murakami and 4 more

Abstract read
In one paragraph

Article in Respirology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Nanako AkiyamaDivision of Respiratory Medicine, Department of Internal Medicine Toho University Sakura Medical Center Sakura Chiba Japan.
Hiroki WakabayashiDivision of Respiratory Medicine, Department of Internal Medicine Toho University Sakura Medical Center Sakura Chiba Japan.ORCID https://orcid.org/0000-0002-8705-441X
Ryogo OhashiDivision of Respiratory Medicine, Department of Internal Medicine Toho University Sakura Medical Center Sakura Chiba Japan.
Kensuke NambaDivision of Respiratory Medicine, Department of Internal Medicine Toho University Sakura Medical Center Sakura Chiba Japan.ORCID https://orcid.org/0009-0000-1775-347X
Misa IwayanagiDivision of Respiratory Medicine, Department of Internal Medicine Toho University Sakura Medical Center Sakura Chiba Japan.
Hiromasa SakuraiDivision of Respiratory Medicine, Department of Internal Medicine Toho University Sakura Medical Center Sakura Chiba Japan.
Yusuke IrieDivision of Respiratory Medicine, Department of Internal Medicine Toho University Sakura Medical Center Sakura Chiba Japan.
Daiki SakaiDivision of Respiratory Medicine, Department of Internal Medicine Toho University Sakura Medical Center Sakura Chiba Japan.
Kenta TakashimaDivision of Respiratory Medicine, Department of Internal Medicine Toho University Sakura Medical Center Sakura Chiba Japan.
Yu MurakamiDivision of Respiratory Medicine, Department of Internal Medicine Toho University Sakura Medical Center Sakura Chiba Japan.
Masaru TsuchiyaDepartment of Surgery Toho University Sakura Medical Center Sakura Chiba Japan.
Kaichi KanekoDivision of Respiratory Medicine, Department of Internal Medicine Toho University Sakura Medical Center Sakura Chiba Japan.
Kazutoshi IsobeDivision of Respiratory Medicine, Department of Internal Medicine Toho University Sakura Medical Center Sakura Chiba Japan.ORCID https://orcid.org/0000-0002-9995-2217
Yasuo MatsuzawaDivision of Respiratory Medicine, Department of Internal Medicine Toho University Sakura Medical Center Sakura Chiba Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bronchobiliary fistula (BBF) is a rare condition characterised by a pathological communication between the biliary tract and bronchial tree secondary to various diseases. Treatment includes bronchial occlusion using reusable bronchoscopes, although the use of single-use bronchoscopes (SUBs) for this purpose has not been reported. This case report describes a 62-year-old male who developed a BBF after anterior hepatic segmentectomy for hepatocellular carcinoma. The patient was admitted to the intensive care unit for severe pneumonia and respiratory failure. Bedside bronchoscopy using SUBs revealed bile leakage from the right B7 bronchus, leading to the diagnosis of BBF. Due to his critical condition and transport difficulties, bronchial occlusion was successfully performed at bedside using an SUB. The patient was extubated on day 12 and discharged on day 25 without recurrence. This case highlights the utility of SUBs for diagnostic and therapeutic intervention in critically ill patients.

Indexed as

bronchial occlusionbronchobiliary fistulacase reportsingle‐use bronchoscope

Identifiers

PMID41164332
PMCPMC12566172

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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.