Evidence map›Paper›PMID 41586388›Full record

ArticleACG case reports journal2026

Migrated Surgical Clip as a Nidus for Choledocholithiasis 8 Years Postcholecystectomy.

Avneet Kaur, Abinash Subedi, Abdelkader Chaar, Azhar Hussain, Bishnu Sapkota, Hafiz Muzaffar Akbar Khan

Abstract read
In one paragraph

Article in ACG case reports journal, 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
–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

6 authors.

Avneet KaurDepartment of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY.
Abinash SubediDivision of Gastroenterology, SUNY Upstate Medical University, Syracuse, NY.
Abdelkader ChaarDivision of Gastroenterology, SUNY Upstate Medical University, Syracuse, NY.ORCID https://orcid.org/0000-0002-4259-0606
Azhar HussainDepartment of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY.
Bishnu SapkotaDivision of Gastroenterology, SUNY Upstate Medical University, Syracuse, NY.
Hafiz Muzaffar Akbar KhanCenter for Interventional Endoscopy, AdventHealth, Tampa, FL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical clip migration is a rare but important cause of delayed postcholecystectomy complications. An 83-year-old man presented 8 years after laparoscopic cholecystectomy with abdominal pain and jaundice. Imaging showed biliary dilation with a 20-mm common bile duct stone. Endoscopic retrograde cholangiopancreatography with cholangioscopy identified a migrated surgical clip serving as the nidus. Electrohydraulic lithotripsy achieved fragmentation, followed by balloon extraction and placement of a fully covered metal stent. The patient recovered uneventfully. This case highlights the need to consider clip migration in patients with late-onset biliary obstruction after cholecystectomy and supports cholangioscopy-guided lithotripsy as a definitive therapy.

Indexed as

common bile duct stonesendoscopyERCPpost-operative complications

Identifiers

PMID41586388
PMCPMC12829694

What OpenQuestion holds

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Registered trials

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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.