Evidence map›Paper›PMID 41761132›Full record

ArticleBMC geriatrics2026

Outcome of cholecystectomy in octogenarian with concurrent cholecystitis and cholangitis receiving percutaneous cholecystostomy and subsequent interventive endoscopic retrograde cholangiopancreatography.

Chih-Yu Li, Yu-Ling Pan, Pei-Shan Wu, Hsin-Hua Lai, Wen-Liang Fang, Liang-Yu Chen, Jiing-Chyuan Luo, Kuei-Chuan Lee, Ming-Chih Hou

Abstract read
In one paragraph

Article in BMC geriatrics, 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

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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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Chih-Yu LiDepartment of Medicine, Division of Gastroenterology and Hepatology, Taipei Veterans General Hospital, Taipei, Taiwan.
Yu-Ling PanDepartment of Medicine, Division of Gastroenterology and Hepatology, En Chu Kong Hospital, New Taipei City, Taiwan.
Pei-Shan WuDepartment of Medicine, Division of Gastroenterology and Hepatology, Taipei Veterans General Hospital, Taipei, Taiwan.
Hsin-Hua LaiDepartment of Medicine, Division of Gastroenterology and Hepatology, Taipei Veterans General Hospital, Taipei, Taiwan.
Wen-Liang FangDepartment of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan.
Liang-Yu ChenCenter for Geriatrics and Gerontology, Taipei Veterans General Hospital, Taipei, Taiwan.
Jiing-Chyuan LuoDepartment of Medicine, Division of Gastroenterology and Hepatology, Taipei Veterans General Hospital, Taipei, Taiwan.
Kuei-Chuan LeeDepartment of Medicine, Division of Gastroenterology and Hepatology, Taipei Veterans General Hospital, Taipei, Taiwan. kclee2@vghtpe.gov.tw.
Ming-Chih HouDepartment of Medicine, Division of Gastroenterology and Hepatology, Taipei Veterans General Hospital, Taipei, Taiwan.

Funding

Taipei Veterans General Hospital Grant NO. V111B-029 and V111C-093the Ministry of Science and Technology Grant No.110-2628-B-075-016 and 111-2314-B-075-051-MY3
6 · The paper itself

Abstract

backgroundAcute cholecystitis (AC) with concurrent cholangitis is a life-threatening condition in elderly patients. We aimed to investigate the outcome of cholecystectomy in patients aged ≥ 80 years with moderate to severe AC who underwent percutaneous cholecystostomy and subsequent interventional endoscopic retrograde cholangiopancreatography (ERCP).

methodsBetween January 2008 and February 2021, we retrospectively enrolled 174 patients who underwent percutaneous cholecystostomy and subsequent ERCP at Taipei Veterans General Hospital. The patients were divided into cholecystectomy and non-cholecystectomy groups after discharge. Clinical outcomes including overall survival rate, recurrence rate of biliary-related events, and complications of ERCP and cholecystectomy, were analyzed. The Kaplan–Meier model was used to interpret the overall survival and cumulative recurrence rates.

resultsThere were 34 patients receiving cholecystectomy (cholecystectomy group), and 98 patients received conservative treatment (non-cholecystectomy group). The overall mortality rate and biliary-related mortality did not differ between the cholecystectomy and non-cholecystectomy groups (20.5% vs. 35.7%, p = 0.082; and 0% vs. 3%, p = 0.083, respectively). The 1-year recurrent rate, 3-year recurrent rate and 5-year recurrence rates of biliary-related events were significantly lower in the cholecystectomy group than in the non-cholecystectomy group (2.9% vs. 18.4%, p = 0.002; 5.9% vs. 20.4%, p = 0.014; 8.8% vs. 24.5%, p = 0.02, respectively). There was no significant difference in the 1-year recurrence rates of cholangitis (2,9% vs. 6.1%, p = 0.407), and pancreatitis (0% vs. 1.0%, p = 0.320). The overall ERCP-related complication rate in the elderly population was low (4%). The overall rate of surgical complications was 11.8% in the cholecystectomy group.

conclusionsCholecystectomy lowers the recurrence rate of biliary-related events in octogenarians with moderate-to-severe cholecystitis and concurrent cholangitis after percutaneous cholecystostomy and subsequent interventional ERCP.

Indexed as

Cholangiopancreatography, Endoscopic RetrogradeCholangitisCholecystectomyCholecystitisCholecystitis, AcuteCholecystostomyAged, 80 and overFemaleHumansMaleRetrospective StudiesTreatment OutcomeAcute cholecystitisCholecystectomyEndoscopic retrograde cholangiopancreatography (ERCP)OctogenarianPercutaneous cholecystostomy

Identifiers

PMID41761132
PMCPMC13181891

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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.