Evidence map›Paper›PMID 41256298›Full record

ArticleWorld journal of gastrointestinal endoscopy2025

Efficacy and safety of double-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography in surgically altered anatomy: A systematic review and meta-analysis.

Guo-Yao Sun, Zhi-Xin Liu, Yong Sun, Zhuo Yang

Abstract read
In one paragraph

Article in World journal of gastrointestinal endoscopy, 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

4 authors.

Guo-Yao SunDepartment of Endoscopy, General Hospital of Northern Theater Command, Shenyang 110000, Liaoning Province, China.
Zhi-Xin LiuDepartment of Endoscopy, General Hospital of Northern Theater Command, Shenyang 110000, Liaoning Province, China.
Yong SunDepartment of Endoscopy, General Hospital of Northern Theater Command, Shenyang 110000, Liaoning Province, China.
Zhuo YangDepartment of Endoscopy, General Hospital of Northern Theater Command, Shenyang 110000, Liaoning Province, China. yangzhuocy@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerforming endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered gastrointestinal anatomy poses significant challenges. Double-balloon enteroscopy-assisted ERCP (DBE-ERCP) has emerged as a safe and effective approach in this patient population. This study aims to provide an updated systematic review and meta-analysis of the safety and efficacy of DBE-ERCP in patients with surgically altered anatomy (SAA), building on previously published evidence.

aimTo evaluate the safety and efficacy of DBE-ERCP in patients with SAA through an updated systematic review and meta-analysis and to compare outcomes between short- and long-scope double-balloon enteroscopy (DBE).

methodsA comprehensive search of PubMed, EMBASE, and Web of Science was performed for studies published up to March 2025 investigating DBE-ERCP in patients with surgically altered gastrointestinal anatomy. A random-effects model was applied to conduct a meta-analysis of proportions. The risk of bias was evaluated using the Newcastle-Ottawa Scale and the Joanna Briggs Institute Scale. Heterogeneity was evaluated using the inconsistency statistic (

resultsA total of 40 studies were included, comprising 10 cohort studies and 30 case series, including 2689 patients who underwent 3478 procedures. The surgical procedures were primarily classified into three categories: Roux-en-Y reconstruction (including hepaticojejunostomy, gastric bypass, and choledochojejunostomy,

conclusionDBE-ERCP demonstrates both safety and efficacy in patients with SAA. Compared to long-scope DBE, short-scope DBE shows greater clinical promise; however, further randomized controlled trials are warranted to validate these findings.

Indexed as

Billroth IIDouble-balloon enteroscopyDouble-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatographyRoux-en-YSingle-balloon enteroscopySurgically altered anatomy

Identifiers

PMID41256298
PMCPMC12620880

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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.