Evidence map›Paper›PMID 41467690›Full record

ArticleJournal of hepato-biliary-pancreatic sciences2026

Comparative Outcomes of Endoscopic Treatment for Symptomatic and Asymptomatic Common Bile Duct Stones in the Elderly: A Propensity Score-Based Cohort Analysis.

Kota Shimojo, Akinori Maruta, Keisuke Iwata, Yuhei Iwasa, Mitsuru Okuno, Kensaku Yoshida, Shinya Uemura, Tsuyoshi Mukai, Takuji Iwashita, Masahito Shimizu

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of hepato-biliary-pancreatic sciences, 2026. 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
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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

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

10 authors.

Kota ShimojoDepartment of Gastroenterology, Hashima Municipal Hospital, Gifu, Japan.ORCID https://orcid.org/0009-0002-9750-0310
Akinori MarutaFirst Department of Internal Medicine, Gifu University Hospital, Gifu, Gifu, Japan.
Keisuke IwataDepartment of Gastroenterology, Gifu Municipal Hospital, Gifu, Gifu, Japan.ORCID https://orcid.org/0000-0003-0564-8669
Yuhei IwasaDepartment of Gastroenterology, Gifu Municipal Hospital, Gifu, Gifu, Japan.
Mitsuru OkunoFirst Department of Internal Medicine, Gifu University Hospital, Gifu, Gifu, Japan.
Kensaku YoshidaDepartment of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, Gifu, Japan.
Shinya UemuraFirst Department of Internal Medicine, Gifu University Hospital, Gifu, Gifu, Japan.
Tsuyoshi MukaiFirst Department of Internal Medicine, Gifu University Hospital, Gifu, Gifu, Japan.
Takuji IwashitaDepartment of Gastroenterology, Shiga University of Medical Science, Shiga, Japan.
Masahito ShimizuFirst Department of Internal Medicine, Gifu University Hospital, Gifu, Gifu, Japan.ORCID https://orcid.org/0000-0002-1151-2058

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVarious guidelines recommend endoscopic stone removal for asymptomatic common bile duct stones (CBDS); however, previous studies have indicated that asymptomatic CBDS is associated with a higher incidence of post-ERCP pancreatitis (PEP). Our study aimed to compare the clinical outcomes of ERCP between elderly patients with asymptomatic and symptomatic CBDS.

methodsElderly patients with CBDS were divided into two groups: A (asymptomatic CBDS) and S (symptomatic CBDS). Propensity score matching was performed to reduce possible bias in the baseline characteristics between the two groups, yielding 221 matched patients. Primary outcomes included early adverse events (AEs) during ERCP, while secondary outcomes included technical success rate and late AEs.

resultsRegarding ERCP-related early AEs, the incidence of PEP was 6.3% in group A and 4.5% in group S, with no significant difference between the groups. The technical success rates were 87.8% and 84.6% in groups A and S, respectively, with no significant difference. The most common late AE was the recurrence of CBDS (11.3% in group A versus 18.6% in group S [p = 0.04]); Kaplan-Meier analysis also revealed a tendency toward a higher cumulative incidence in group S.

conclusionEndoscopic transpapillary stone extraction in asymptomatic elderly patients may be beneficial.

Indexed as

Cholangiopancreatography, Endoscopic RetrogradeGallstonesAgedAged, 80 and overAsymptomatic DiseasesCohort StudiesFemaleHumansMalePancreatitisPostoperative ComplicationsPropensity ScoreRetrospective StudiesTreatment Outcomeasymptomatic common bile duct stoneelderly patientsendoscopic retrograde cholangiopancreatographypost‐ERCP pancreatitisrecurrence of common bile duct stones

Identifiers

PMID41467690
PMCPMC13113205

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