ArticleDEN open2027
Transpapillary/Transfistular Drainage for Two Refractory Postoperative Right-Lobe Bilomas: A Case Report.
Article in DEN open, 2027. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We report a case of two refractory postoperative right-lobe bilomas that were successfully treated with transpapillary/transfistular (TP/TF) drainage. A 57-year-old man developed two bilomas (segments 6 and 7) after repeated hepatectomy for colorectal liver metastases. Initial endoscopic retrograde cholangiopancreatography with endoscopic nasobiliary drainage (ENBD) was performed; however, biloma enlargement was observed despite ENBD placement, prompting a switch to TP/TF drainage. Two 5-Fr pigtail-type ENBD tubes were placed within the biloma cavities, followed by internalization after confirmed biloma regression (B6: from 93 to 38 mm, B7: from 71 to 28 mm). As the leak improved from high-grade to low-grade, the drainage strategy was modified to plastic stent placement in the B7 bile duct, ultimately achieving complete biloma resolution approximately 8 months after TP/TF drainage. Stent-free status has been maintained for 13 months, with a total follow-up of 21 months. This case demonstrates that TP/TF drainage is a feasible and effective option for multiple right-lobe bilomas, particularly when endoscopic ultrasound-guided transmural drainage would require multiple transmural procedures, allowing endoscopic treatment to be completed without percutaneous drainage.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.