Evidence map›Paper›PMID 41479752›Full record

ArticleWorld journal of gastroenterology2025

Risk prediction of biliary infection after endoscopic drainage for malignant perihilar biliary obstruction: A 10-year multicenter retrospective study.

Yi-Fei Wang, Ke Han, Na An, Ya-Nan Sun, Feng Gao, Yong Sun, Di Zhang, Zhi-Feng Zhao, Qing Guo, Jiang-Ning Gu and 1 more

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

Article in World journal of gastroenterology, 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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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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Yi-Fei WangDepartment of Endoscopy, General Hospital of Northern Theater Command, Shenyang 110016, Liaoning Province, China.
Ke HanDepartment of Endoscopy, General Hospital of Northern Theater Command, Shenyang 110016, Liaoning Province, China.
Na AnDepartment of Endoscopy, General Hospital of Northern Theater Command, Shenyang 110016, Liaoning Province, China.
Ya-Nan SunDepartment of Endoscopy, General Hospital of Northern Theater Command, Shenyang 110016, Liaoning Province, China.
Feng GaoDepartment of Endoscopy, General Hospital of Northern Theater Command, Shenyang 110016, Liaoning Province, China.
Yong SunDepartment of Endoscopy, General Hospital of Northern Theater Command, Shenyang 110016, Liaoning Province, China.
Di ZhangDepartment of Endoscopy, General Hospital of Northern Theater Command, Shenyang 110016, Liaoning Province, China.
Zhi-Feng ZhaoDepartment of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang 110032, Liaoning Province, China.
Qing GuoSurgical Endoscopy Center, The Northeast International Hospital, Shenyang 110015, Liaoning Province, China.
Jiang-Ning GuDepartment of Endoscopy, General Hospital of Northern Theater Command, Shenyang 110016, Liaoning Province, China.
Zhuo YangDepartment of Endoscopy, General Hospital of Northern Theater Command, Shenyang 110016, Liaoning Province, China. yangzhuocy@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs a prominent drainage method, endoscopic retrograde cholangiopancreatography (ERCP) with stenting has been universally employed to treat malignant perihilar biliary obstruction (MPHBO). Nonetheless, postoperative biliary infection (PBI) constitutes a remarkable complication associated with this procedure, which can result in fatal outcomes under some circumstances.

aimTo investigate the risk factors and predict the occurrence of PBI following ERCP drainage in patients suffering from MPHBO.

methodsThis retrospective study analyzed data from patients who underwent ERCP drainage at three different centers. Independent risk factors for PBI were identified by adopting multivariate analyses. Logistic regression model and artificial neural network (ANN) models were developed and validated to predict PBI.

resultsA total of 288 patients who underwent 403 ERCP procedures were included in the study. The incidence of PBI was 39% (158/403). As evidently demonstrated by multivariate analysis, the Bismuth-Corlett classification (odds ratio [OR] = 1.412; 95% confidence interval [CI]: 1.144-1.743;

conclusionThe Bismuth-Corlett classification, hypokalemia, and AST levels were identified as independent risk factors for PBI following ERCP drainage. The ANN model was proven to be an effective approach for the anticipation of the PBI occurrence.

Indexed as

Bile Duct NeoplasmsCholangiopancreatography, Endoscopic RetrogradeCholestasisDrainagePostoperative ComplicationsAdultAgedAged, 80 and overAspartate AminotransferasesFemaleHumansIncidenceLogistic ModelsMaleMiddle AgedNeural Networks, ComputerAspartate AminotransferasesArtificial neural networkEndoscopic retrograde cholangiopancreatographyMalignant perihilar biliary obstructionPostoperative biliary infectionRisk factors

Identifiers

PMID41479752
PMCPMC12754166

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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.