Evidence map›Paper›PMID 41309512›Full record

ArticleClinical endoscopy2025

Efficacy of primary endoscopic ultrasound-guided biliary drainage with the placement of multiple plastic stents in the management of hepaticojejunostomy stricture: a retrospective, single-center study in Japan.

Mako Ushio, Toshio Fujisawa, Ko Tomishima, Yusuke Takasaki, Shigeto Ishii, Koichi Ito, Akinori Suzuki, Daisuke Namima, Sho Takahashi, Taito Fukuma and 10 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical endoscopy, 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

20 authors.

Mako UshioDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Toshio FujisawaDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Ko TomishimaDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Yusuke TakasakiDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Shigeto IshiiDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Koichi ItoDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Akinori SuzukiDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Daisuke NamimaDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Sho TakahashiDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Taito FukumaDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Hiroto OtaDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Daishi KabemuraDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Muneo IkemuraDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Ippei IkomaDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Yasuhisa JimboDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Haruka HagiwaraDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Yusuke YamaguchiDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Takumi OkuakiDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Shin AriiDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Hiroyuki IsayamaDepartment of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepaticojejunostomy strictures (HJSS), recurrent cholangitis, and jaundice are major complications of surgical hepaticojejunostomy. Previously, HJSS was managed using percutaneous procedures and balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography. However, endoscopic ultrasound-biliary drainage (EUS-BD) was recently reported to be an effective salvage procedure. EUS-BD as a primary drainage method using a trans-endosonographically created route (trans-ESCR) has not been previously evaluated.

methodsWe enrolled consecutive patients who underwent EUS-BD for HJSS at the Juntendo University Hospital between March 2017 and December 2022. After ESCR maturation, multiple plastic stents were placed for 1 year with or without cholangioscopic evaluation. We evaluated the technical and clinical success rates, stent removal, HJSS recurrence, and related adverse events.

resultsThirty-seven patients required EUS-guided hepaticogastrostomy/hepaticojejunostomy (n=36/1). The technical and clinical success rates were 94.6% and 100.0%, respectively, and 17% of patients experienced adverse events. Cholangioscopy via ESCR was performed in 19 patients to evaluate the strictures and manage concomitant stones. The success rate of stent removal after multiple stent placements for more than 1 year was 83%.

conclusionsPrimary EUS-BD and trans-ESCR are feasible and effective in the management of HJSS. Further prospective studies are needed to confirm the results of this pilot study.

Indexed as

Endoscopic stentingEndoscopic ultrasoundEndoscopic ultrasound-hepaticogastrostomy/hepaticojejunostomyHepaticojejunostomy stricture

Identifiers

PMID41309512
PMCPMC12933604

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.