Evidence map›Paper›PMID 41649729›Full record

ArticleUpdates in surgery2026

Endoscopic treatment of biliary strictures after liver transplantation: balloon dilatation with stenting improves long-term outcomes.

Xiaofang Zhang, Guangkai Zhao, Zhongxin Huang, Zeliang Xu, Di Jiang, Danqing Liu, Leida Zhang, Chengcheng Zhang, Xi Wang

Abstract read
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In one paragraph

Article in Updates in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Xiaofang Zhang *Department of Hepatobiliary Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), No.30, Gaotanyan Road, Chongqing, 400038, China.
Guangkai Zhao *Department of Organ Transplantation Surgery, Liaocheng People's Hospital/Affiliated Liaocheng Hospital, Shandong First Medical University, Shandong, China.
Zhongxin Huang *Department of Radiology, Women and Children's Hospital of Chongqing Medical University, Chongqing, China.
Zeliang XuDepartment of Hepatobiliary Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), No.30, Gaotanyan Road, Chongqing, 400038, China.
Di JiangDepartment of Hepatobiliary Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), No.30, Gaotanyan Road, Chongqing, 400038, China.
Danqing LiuDepartment of Hepatobiliary Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), No.30, Gaotanyan Road, Chongqing, 400038, China.
Leida ZhangDepartment of Hepatobiliary Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), No.30, Gaotanyan Road, Chongqing, 400038, China.
Chengcheng ZhangDepartment of Hepatobiliary Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), No.30, Gaotanyan Road, Chongqing, 400038, China. zhangcc@tmmu.edu.cn.
Xi WangDepartment of Hepatobiliary Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), No.30, Gaotanyan Road, Chongqing, 400038, China. cc7695@126.com.

Funding

Chongqing Science and Technology Bureau CSTB2022TIAD-GPX0085
6 · The paper itself

Abstract

Endoscopic treatment is the standard treatment for biliary strictures after liver transplantation (LT), but the specific strategies and different success patterns have not been clearly defined in terms of their impact on survival. The aim of this study was to investigate the predictors of successful endoscopic treatment and the impact of different patterns of success on patient survival outcomes. A total of 93 patients with accurately diagnosed biliary strictures who subsequently underwent endoscopic retrograde cholangiopancreatography (ERCP) were retrospectively enrolled. The primary endpoint was standard of care success and final treatment success, while secondary endpoint was overall survival. Non-anastomotic strictures (NAS) and anastomotic strictures (AS) were diagnosed in 57 and 36 patients, respectively, based on imaging before the last ERCP procedure. Definitive treatment success was achieved significantly more often in patients with AS (P = 0.018), while there was no significant difference in standard treatment success between AS and NAS (P = 0.900). Both treatment success patterns showed a better overall survival benefit in the overall and NAS groups (P < 0.05), and in the AS group, the survival curve showed a long-term benefit for both treatment success patterns, despite no statistical difference. In addition, balloon dilatation with stenting increased final treatment success in the overall groups. ERCP is a safe and effective therapeutic option for patients with NAS and AS, with both successful treatment patterns improving long-term survival. Balloon dilatation with stenting can increase the treatment success of ERCP in both types of biliary strictures.

Indexed as

Balloon dilatationBiliary stricturesEndoscopic retrograde cholangiopancreatographyLiver transplantationOverall survival

Identifiers

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Read underepoch 390

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.