Evidence map›Paper›PMID 41179488›Full record

ReviewTherapeutic advances in gastroenterology2025

Balloon-assisted ERCP for bile duct stones in surgically altered anatomy: current techniques, devices, and evolving strategies.

Haruka Toyonaga, Makoto Masaki, Arata Oka, Hidetoshi Nakata, Shoji Takayama, Tatsuya Nakagawa, Takuya Takayama, Masahiro Orino, Hironao Matsumoto, Takeshi Yamashina and 1 more

Abstract readReview
In one paragraph

Review in Therapeutic advances in gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

11 authors.

Haruka ToyonagaDepartment of Gastroenterology and Hepatology, Kansai Medical University Medical Center Billing information (Bill payer), Osaka, Japan.ORCID https://orcid.org/0000-0001-7300-3665
Makoto MasakiDepartment of Gastroenterology and Hepatology, Kansai Medical University Medical Center Billing information (Bill payer), Osaka, Japan.
Arata OkaDepartment of Gastroenterology and Hepatology, Kansai Medical University Medical Center Billing information (Bill payer), Osaka, Japan.
Hidetoshi NakataDepartment of Gastroenterology and Hepatology, Kansai Medical University Medical Center Billing information (Bill payer), Osaka, Japan.
Shoji TakayamaDepartment of Gastroenterology and Hepatology, Kansai Medical University Medical Center Billing information (Bill payer), Osaka, Japan.
Tatsuya NakagawaDepartment of Gastroenterology and Hepatology, Kansai Medical University Medical Center Billing information (Bill payer), Osaka, Japan.
Takuya TakayamaDepartment of Gastroenterology and Hepatology, Kansai Medical University Medical Center Billing information (Bill payer), Osaka, Japan.
Masahiro OrinoDepartment of Gastroenterology and Hepatology, Kansai Medical University Medical Center Billing information (Bill payer), Osaka, Japan.
Hironao MatsumotoDepartment of Gastroenterology and Hepatology, Kansai Medical University Medical Center Billing information (Bill payer), Osaka, Japan.
Takeshi YamashinaDepartment of Gastroenterology and Hepatology, Kansai Medical University Medical Center Billing information (Bill payer), Osaka, Japan.
Masaaki ShimataniDepartment of Gastroenterology and Hepatology, Kansai Medical University Medical Center Billing information (Bill payer), Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Balloon endoscopy-assisted endoscopic retrograde cholangiopancreatography (BE-ERCP) has become an essential modality for managing pancreaticobiliary diseases in patients with surgically altered anatomy (SAA). This review summarizes the current evidence and technical advances in BE-ERCP, with a focus on insertion strategies tailored to specific reconstructive surgical techniques. Recent developments in short-type balloon endoscopes have improved maneuverability and device compatibility, enabling the widespread use of standard ERCP accessories. In addition, innovative tools, such as highly rotatable sphincterotomes, helical stone retrieval baskets, and newly introduced slim cholangioscopes, have expanded the diagnostic and therapeutic potential of BE-ERCP. Papillary interventions, including endoscopic sphincterotomy, endoscopic papillary balloon dilation (EPBD), large balloon dilation (EPLBD), and combined approaches (ESBD), are discussed with respect to their feasibility and safety in SAA. Furthermore, the clinical efficacy of stone removal and lithotripsy techniques, including peroral cholangioscopy-guided electrohydraulic lithotripsy, is reviewed. Finally, we address the emerging role of interventional endoscopic ultrasound as a complementary or alternative strategy to BE-ERCP. Taken together, this review provides a comprehensive update on current techniques and evolving strategies for endoscopic management of bile duct stones in patients with altered anatomy.

Indexed as

balloon endoscopy-assisted ERCPdouble-balloon endoscopyelectrohydraulic lithotripsyperoral cholangioscopysurgically altered anatomy

Identifiers

PMID41179488
PMCPMC12576111

What OpenQuestion holds

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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.