Evidence map›Paper›PMID 42499515›Full record

ArticleEndoscopic ultrasound

Comparison of EUS-guided treatment and balloon-enteroscopy-assisted endoscopic retrograde cholangiopancreatography for large bile duct stone removal in patients with surgically altered anatomy: A multicenter study.

Ryota Sagami, Kiyoyuki Kobayashi, Makoto Hinokuchi, Kosuke Takahashi, Eisuke Ozawa, Takehiko Koga, Yusuke Ishida, Shotaro Kakehashi, Nao Fujimori, Yasuhisa Hiroshima and 6 more

Abstract read
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In one paragraph

Article in Endoscopic ultrasound. 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

16 authors.

Ryota SagamiDepartment of Gastroenterology, Faculty of Medicine, Oita University, Oita, Japan.
Kiyoyuki KobayashiDivision of Innovative Medicine for Hepatobiliary and Pancreatology, Faculty of Medicine, Kagawa University, Kagawa, Japan.
Makoto HinokuchiUnion of New Investigators for the Next Generation (U-NINE), Fukuoka, Japan.
Kosuke TakahashiUnion of New Investigators for the Next Generation (U-NINE), Fukuoka, Japan.
Eisuke OzawaDepartment of Gastroenterology and Hepatology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan.
Takehiko KogaUnion of New Investigators for the Next Generation (U-NINE), Fukuoka, Japan.
Yusuke IshidaDepartment of Gastroenterology and Medicine, Fukuoka University Faculty of Medicine, Fukuoka, Japan.
Shotaro KakehashiDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Nao FujimoriUnion of New Investigators for the Next Generation (U-NINE), Fukuoka, Japan.
Yasuhisa HiroshimaDepartment of Gastroenterology, Faculty of Medicine, Oita University, Oita, Japan.
Issei KojimaUnion of New Investigators for the Next Generation (U-NINE), Fukuoka, Japan.
Hideki MoriDepartment of Gastroenterology, Nakagami Hospital, Okinawa, Japan.
Naosuke KuraokaDepartment of Gastroenterology, Saiseikai Kawaguchi General Hospital, Saitama, Japan.
Hidefumi NishikioriDepartment of Gastroenterology, Oita San-ai Medical Center, Oita, Japan.
Kazunari MurakamiDepartment of Gastroenterology, Faculty of Medicine, Oita University, Oita, Japan.
Kazuhiro MizukamiDepartment of Gastroenterology, Faculty of Medicine, Oita University, Oita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: Large bile duct stone removal in patients with surgically altered anatomy (SAA) is technically challenging. Although balloon-enteroscopy-assisted endoscopic retrograde cholangiopancreatography (BE-ERCP) has been widely adopted, EUS-guided treatment (EUS-T) may achieve higher stone removal rates owing to improved device accessibility after anastomosis. In this multicenter retrospective study, we aimed to compare the outcomes of EUS-T and BE-ERCP for large bile duct stones in patients with SAA. Methods: Patients with SAA who underwent EUS-T or BE-ERCP for large bile duct stones (≥12 mm) between January 2016 and February 2025 were included. The primary outcome was the complete stone removal rate. Secondary outcomes included the number of sessions, procedure time, and adverse events. Propensity score matching was applied to adjust for baseline differences between groups. Results: In total, 22 EUS-T and 87 BE-ERCP procedures were analyzed. After matching, the complete stone removal rate was significantly higher in the EUS-T group than in the BE-ERCP group (90.5% Conclusion: EUS-T achieved a higher complete stone removal rate than BE-ERCP without a significant increase in adverse event rates, and may be a first-line treatment option for large bile duct stones in patients with SAA.

Indexed as

assisted endoscopic retrograde cholangiopancreatographydouble-balloon enteroscopyEUSEUS-guided hepaticogastrostomyEUS-guided hepaticojejunostomyguided route creationsingle-balloon enteroscopy

Identifiers

PMID42499515
PMCPMC13400029

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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.