Evidence map›Paper›PMID 41357665›Full record

ArticleWorld journal of gastrointestinal surgery2025

Intra-biliary cleansing during secondary duodenoscopic removal of duodenal bend biliary stents: A retrospective cohort study.

Hong-Lei Zhang, Cheng Zhang, Chen Qiu, Bo-Sen Zhang, An-Hua Huang, Jian-She Yang, Zhao-Yan Jiang, Liang Zheng, Hai Hu, Yu-Long Yang

Abstract read
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Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

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No citing paper in PubMed yet.

4 · The record

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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

10 authors.

Hong-Lei ZhangCenter for Gallbladder Diseases, Shanghai East Hospital Affiliated with Tongji University and Institute of Gallbladder Diseases of Tongji University School of Medicine, Shanghai 200120, China.
Cheng ZhangCenter for Gallbladder Diseases, Shanghai East Hospital Affiliated with Tongji University and Institute of Gallbladder Diseases of Tongji University School of Medicine, Shanghai 200120, China.
Chen QiuCenter for Gallbladder Diseases, Shanghai East Hospital Affiliated with Tongji University and Institute of Gallbladder Diseases of Tongji University School of Medicine, Shanghai 200120, China.
Bo-Sen ZhangCenter for Gallbladder Diseases, Shanghai East Hospital Affiliated with Tongji University and Institute of Gallbladder Diseases of Tongji University School of Medicine, Shanghai 200120, China.
An-Hua HuangCenter for Gallbladder Diseases, Shanghai East Hospital Affiliated with Tongji University and Institute of Gallbladder Diseases of Tongji University School of Medicine, Shanghai 200120, China.
Jian-She YangShanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai 200092, China.
Zhao-Yan JiangCenter for Gallbladder Diseases, Shanghai East Hospital Affiliated with Tongji University and Institute of Gallbladder Diseases of Tongji University School of Medicine, Shanghai 200120, China.
Liang ZhengCenter for Gallbladder Diseases, Shanghai East Hospital Affiliated with Tongji University and Institute of Gallbladder Diseases of Tongji University School of Medicine, Shanghai 200120, China.
Hai HuCenter for Gallbladder Diseases, Shanghai East Hospital Affiliated with Tongji University and Institute of Gallbladder Diseases of Tongji University School of Medicine, Shanghai 200120, China.
Yu-Long YangCenter for Gallbladder Diseases, Shanghai East Hospital Affiliated with Tongji University and Institute of Gallbladder Diseases of Tongji University School of Medicine, Shanghai 200120, China. yyl516@tongji.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiliary stent placement and removal are common medical procedures, but they carry risks of chyme regurgitation and residual common bile duct stones (CBDS), highlighting the necessity of intra-biliary cleansing during secondary endoscopic stent removal.

aimTo compare the incidence of chyme reflux into the common bile duct and residual or recurrent CBDS, and the safety of intra-biliary cleansing during secondary duodenoscopic removal of duodenal bend

methodsWe included 554 patients undergoing secondary duodenoscopy for biliary stent removal and intra-biliary cleansing from March 2019 to September 2024. Patients were divided into a single pigtail biliary stent group and a duodenal bend biliary stent group (DBBSG). Chyme reflux and CBDS occurrences were compared using the Cox proportional hazards model.

resultsThe median age of the patients included was 62 years (interquartile range: 51-70), with 53.11% being female. During stent removal, DBBSG showed higher rates of chyme reflux (23.27%

conclusionDuodenal bend biliary stents increase the risk of chyme reflux into the common bile duct and CBDS. The safety of intra-biliary cleaning during stent removal has been validated, and as a result, it is recommended that endoscopists perform intra-biliary cleaning during duodenoscopic removal of duodenal bend biliary stents.

Indexed as

Adverse reactions after endoscopic retrograde cholangiopancreatographyBiliary stentCommon bile duct stonesEndoscopic retrograde cholangiopancreatographyEnterobiliary refluxIntra-biliary cleansing

Identifiers

PMID41357665
PMCPMC12679007

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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.