{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:06:22Z","timestamp":1787018782866,"version":"build-2736575974"},"reference-count":29,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Common bile duct (CBD) stones can spontaneously pass through the papilla. This study explored factors associated with stone passage by comparing differences in the clinical features of stones retained in the CBD and excreted stones.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were retrospectively collected for all patients who were hospitalized in our center between March 2016 and May 2021 with clinical, laboratory, or imaging evidence of CBD stones. All patients underwent endoscopic retrograde cholangiopancreatography (ERCP) and were classified into two groups: group A (stones extracted by ERCP, n\u2009=\u200986) and group B (stones discharged before ERCP, n\u2009=\u200915). Demographic data, biochemical and radiological findings were compared between the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Stone size (0.82 vs. 0.33\u2009cm), and levels of total bilirubin (58.2 vs. 28.8\u2009\u03bcmol\/L), gamma-glutamyl transpeptidase (416.7 vs. 193.9\u2009U\/L), alkaline phosphatase (191.9 vs. 123.1\u2009U\/L), carbohydrate antigen 19-9 (603.7 vs. 37.2\u2009U\/mL), and \u03b1-L-fucosidase (37.4 vs. 22.6\u2009U\/L) were significantly higher in group A than in group B. Logistic regression analyses showed that stone size was the only factor significantly associated with spontaneous passage of CBD stones.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CBD stones less than 0.33\u2009cm in size may be self-expelled through the papilla.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605211058381","type":"journal-article","created":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T06:11:15Z","timestamp":1637129475000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Factors related to the spontaneous passage of common bile duct stones through the papilla: a single-center retrospective cohort study"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0505-6009","authenticated-orcid":false,"given":"Songming","family":"Ding","sequence":"first","affiliation":[{"name":"Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Zhejiang Shuren University, Shulan International Medical College, Hangzhou, Zhejiang, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanjie","family":"Dong","sequence":"additional","affiliation":[{"name":"Zhejiang University School of Medicine, Hangzhou, Zhejiang, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hengkai","family":"Zhu","sequence":"additional","affiliation":[{"name":"Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Zhejiang Shuren University, Shulan International Medical College, Hangzhou, Zhejiang, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weilin","family":"Wu","sequence":"additional","affiliation":[{"name":"Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Zhejiang Shuren University, Shulan International Medical College, Hangzhou, Zhejiang, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiting","family":"Hu","sequence":"additional","affiliation":[{"name":"Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Zhejiang Shuren University, Shulan International Medical College, Hangzhou, Zhejiang, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiyong","family":"Li","sequence":"additional","affiliation":[{"name":"Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Zhejiang Shuren University, Shulan International Medical College, Hangzhou, Zhejiang, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shusen","family":"Zheng","sequence":"additional","affiliation":[{"name":"Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Zhejiang Shuren University, Shulan International Medical College, Hangzhou, Zhejiang, P.R. China"},{"name":"Zhejiang University School of Medicine, Hangzhou, Zhejiang, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,11,17]]},"reference":[{"key":"bibr1-03000605211058381","doi-asserted-by":"publisher","DOI":"10.4253\/wjge.v7.i2.128"},{"key":"bibr2-03000605211058381","doi-asserted-by":"crossref","unstructured":"Chiang PH, Lai KH, Tsai TJ, et\u00a0al.  Is endoscopic treatment beneficial in patients with clinically suspicious of common bile duct stones but no obvious filling defects during the ERCP examination?\n                      BMC Gastroenterol\n                      2016. doi: 10.1186\/s12876-016-0524-2.","DOI":"10.1186\/s12876-016-0524-2"},{"key":"bibr3-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1308\/003588410X12628812458293"},{"key":"bibr4-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1055\/a-0862-0346"},{"key":"bibr5-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2007.01279.x"},{"key":"bibr6-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1136\/flgastro-2015-100597"},{"key":"bibr7-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.07.010"},{"key":"bibr8-03000605211058381","doi-asserted-by":"crossref","unstructured":"Khoury T, Adileh M, Imam A, et\u00a0al.  Parameters Suggesting Spontaneous Passage of Stones from Common Bile Duct: A Retrospective Study.\n                      Can J Gastroenterol Hepatol\n                      2019. doi: 10.1155\/2019\/5382708.","DOI":"10.1155\/2019\/5382708"},{"key":"bibr9-03000605211058381","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i39.6618"},{"key":"bibr10-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.09.041"},{"key":"bibr11-03000605211058381","doi-asserted-by":"crossref","unstructured":"Giljaca V, Gurusamy KS, Takwoingi Y, et\u00a0al . Endoscopic ultrasound versus magnetic resonance cholangiopancreatography for common bile duct stones.\n                      Cochrane Database Syst Rev\n                      2015. doi: 10.1002\/14651858.CD011549.","DOI":"10.1002\/14651858.CD011549"},{"key":"bibr12-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-012-2261-x"},{"key":"bibr13-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2018.10.001"},{"key":"bibr14-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198312000-00004"},{"key":"bibr15-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000103069.00170.9c"},{"key":"bibr16-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1016\/S1499-3872(11)60033-7"},{"key":"bibr17-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198507000-00010"},{"key":"bibr18-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199407000-00006"},{"key":"bibr19-03000605211058381","first-page":"1522","volume":"47","author":"Jakobs R","year":"2000","journal-title":"Hepatogastroenterology"},{"key":"bibr20-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1021\/acs.jproteome.7b00024"},{"key":"bibr21-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-009-0894-1"},{"key":"bibr22-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.1991.tb00896.x"},{"key":"bibr23-03000605211058381","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v6.i11.441"},{"key":"bibr24-03000605211058381","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i23.3770"},{"key":"bibr25-03000605211058381","doi-asserted-by":"publisher","DOI":"10.1021\/acs.analchem.7b02284"},{"key":"bibr26-03000605211058381","doi-asserted-by":"publisher","DOI":"10.5144\/0256-4947.2016.57"},{"key":"bibr27-03000605211058381","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i20.3162"},{"key":"bibr28-03000605211058381","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i37.13382"},{"key":"bibr29-03000605211058381","doi-asserted-by":"crossref","unstructured":"Dasari BVTan CJ, Gurusamy KS, et\u00a0al . Surgical versus endoscopic treatment of bile duct stones.\n                      Cochrane Database Syst Rev\n                      2013. doi: 10.1002\/14651858.CD003327.pub4.","DOI":"10.1002\/14651858.CD003327.pub4"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605211058381","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605211058381","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605211058381","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:47:30Z","timestamp":1777459650000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605211058381"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":29,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1177\/03000605211058381"],"URL":"https:\/\/doi.org\/10.1177\/03000605211058381","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11]]},"article-number":"03000605211058381"}}