Evidence map›Paper›PMID 42828079›Full record

ArticleACG case reports journal2026

Successful Cholangioscopy-Guided Stone Extraction in a Choledocholithiasis Patient With Afferent Loop Stenosis After Pancreaticoduodenectomy.

Zhi An, Jian Shang, Qiu Zhao, Jun Fang

Abstract readCase Reports
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

4 authors.

Zhi AnDepartment of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.
Jian ShangDepartment of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.
Qiu ZhaoDepartment of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.ORCID https://orcid.org/0000-0002-1596-5505
Jun FangHubei Provincial Clinical Research Center for Intestinal and Colorectal Diseases, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Choledocholithiasis after pancreaticoduodenectomy is difficult to manage because surgically altered anatomy limits conventional endoscopic access. This difficulty is compounded when afferent loop stenosis is present. We report a 53-year-old man with a previous pancreaticoduodenectomy who presented with abdominal pain and fever. Imaging revealed common bile duct stones. During endoscopic retrograde cholangiopancreatography, severe afferent loop stenosis prevented duodenoscope advancement and guidewire cannulation. The peroral eyeMAX cholangioscope was then used; its slim profile allowed traversal of the stenosis, enabling direct visualization and balloon-assisted stone extraction. This case highlights peroral cholangioscopy as an effective rescue option in this difficult setting.

Indexed as

afferent loop stenosiscommon bile duct stones (CBDS)EyeMAXpancreaticoduodenectomy

Identifiers

PMID42828079
PMCPMC13632974

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.