{"id":"https://openalex.org/W7204437296","doi":"https://doi.org/10.1055/s-0046-1828929","title":"Pancreatoscopic Laser Lithotripsy as Salvage Endotherapy in Therapeutic Exhaustion: Outcomes from a Pancreatic Endotherapy Cohort\u2014The PanClear Study","display_name":"Pancreatoscopic Laser Lithotripsy as Salvage Endotherapy in Therapeutic Exhaustion: Outcomes from a Pancreatic Endotherapy Cohort\u2014The PanClear Study","publication_year":2026,"publication_date":"2026-03-01","ids":{"openalex":"https://openalex.org/W7204437296","doi":"https://doi.org/10.1055/s-0046-1828929"},"language":"en","primary_location":{"id":"doi:10.1055/s-0046-1828929","doi":"https://doi.org/10.1055/s-0046-1828929","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0046-1828929","pdf_url":null,"source":{"id":"https://openalex.org/S2765022469","display_name":"Journal of Digestive Endoscopy","issn_l":"0976-5042","issn":["0976-5042","0976-5050"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Digestive Endoscopy","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W7204437296"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.1055/s-0046-1828929","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5148420954","display_name":"Z. Ahamed Rizwan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113677","display_name":"Rajagiri Hospital","ror":"https://ror.org/01zb5kv44","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210113677"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Z. Ahamed Rizwan","raw_affiliation_strings":["The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India","institution_ids":["https://openalex.org/I4210113677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028054866","display_name":"Tharun Tom","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113677","display_name":"Rajagiri Hospital","ror":"https://ror.org/01zb5kv44","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210113677"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Tharun Tom","raw_affiliation_strings":["The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India","institution_ids":["https://openalex.org/I4210113677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133891292","display_name":"Jithin John","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113677","display_name":"Rajagiri Hospital","ror":"https://ror.org/01zb5kv44","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210113677"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Jithin John","raw_affiliation_strings":["The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India","institution_ids":["https://openalex.org/I4210113677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102925326","display_name":"Antony George","orcid":"https://orcid.org/0000-0002-5853-5038","observed_orcids":["https://orcid.org/0000-0002-5853-5038"]},"institutions":[{"id":"https://openalex.org/I4210113677","display_name":"Rajagiri Hospital","ror":"https://ror.org/01zb5kv44","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210113677"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Antony George","raw_affiliation_strings":["The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India","institution_ids":["https://openalex.org/I4210113677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006119944","display_name":"Ajit K. Tharakan","orcid":"https://orcid.org/0000-0002-6430-2580","observed_orcids":["https://orcid.org/0000-0002-6430-2580","https://orcid.org/0009-0007-2476-7563"]},"institutions":[{"id":"https://openalex.org/I4210113677","display_name":"Rajagiri Hospital","ror":"https://ror.org/01zb5kv44","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210113677"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Ajit Tharakan","raw_affiliation_strings":["The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India","institution_ids":["https://openalex.org/I4210113677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043590914","display_name":"S Rajesh","orcid":"https://orcid.org/0000-0002-3293-1817","observed_orcids":["https://orcid.org/0000-0002-3293-1817"]},"institutions":[{"id":"https://openalex.org/I4210113677","display_name":"Rajagiri Hospital","ror":"https://ror.org/01zb5kv44","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210113677"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Rajesh Sasidharan","raw_affiliation_strings":["The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India","institution_ids":["https://openalex.org/I4210113677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044517265","display_name":"Akhil Baby","orcid":"https://orcid.org/0000-0001-7153-9749","observed_orcids":["https://orcid.org/0000-0001-7153-9749"]},"institutions":[{"id":"https://openalex.org/I4210113677","display_name":"Rajagiri Hospital","ror":"https://ror.org/01zb5kv44","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210113677"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Akhil Baby","raw_affiliation_strings":["The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India","institution_ids":["https://openalex.org/I4210113677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081384196","display_name":"Cyriac Abby Philips","orcid":"https://orcid.org/0000-0002-9587-336X","observed_orcids":["https://orcid.org/0000-0002-9587-336X"]},"institutions":[{"id":"https://openalex.org/I4210113677","display_name":"Rajagiri Hospital","ror":"https://ror.org/01zb5kv44","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210113677"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Cyriac Abby Philips","raw_affiliation_strings":["The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India","institution_ids":["https://openalex.org/I4210113677"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5081251473","display_name":"Philip Augustine","orcid":"https://orcid.org/0000-0003-0787-0984","observed_orcids":["https://orcid.org/0000-0003-0787-0984"]},"institutions":[{"id":"https://openalex.org/I4210113677","display_name":"Rajagiri Hospital","ror":"https://ror.org/01zb5kv44","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210113677"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Philip Augustine","raw_affiliation_strings":["The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Pancreas Institute, Centre of Excellence in Gastrointestinal Sciences, Rajagiri Hospital, Kochi, Kerala, India","institution_ids":["https://openalex.org/I4210113677"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210113677"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":"S 01","first_page":"S1","last_page":"S138"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10760","display_name":"Pancreatitis Pathology and Treatment","score":0.836899995803833,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10760","display_name":"Pancreatitis Pathology and Treatment","score":0.836899995803833,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.16019999980926514,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10606","display_name":"Kidney Stones and Urolithiasis Treatments","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pancreatoscopy","display_name":"pancreatoscopy","score":0.9179999828338623},{"id":"https://openalex.org/keywords/holmium-laser-lithotripsy","display_name":"holmium laser lithotripsy","score":0.9959999918937683},{"id":"https://openalex.org/keywords/pancreatic-stones","display_name":"pancreatic stones","score":0.7639999985694885},{"id":"https://openalex.org/keywords/chronic-pancreatitis","display_name":"chronic pancreatitis","score":0.8690000176429749},{"id":"https://openalex.org/keywords/pancreatic-stent-placement","display_name":"pancreatic stent placement","score":0.6050000190734863},{"id":"https://openalex.org/keywords/stone-clearance","display_name":"stone clearance","score":0.9039999842643738},{"id":"https://openalex.org/keywords/stone-distribution","display_name":"stone distribution","score":0.5270000100135803},{"id":"https://openalex.org/keywords/post-ercp-pancreatitis","display_name":"post-ERCP pancreatitis","score":0.7509999871253967},{"id":"https://openalex.org/keywords/pancreatic-infection","display_name":"pancreatic infection","score":0.6069999933242798},{"id":"https://openalex.org/keywords/patient-refusal-of-surgery","display_name":"patient refusal of surgery","score":0.6190000176429749},{"id":"https://openalex.org/keywords/pain-relief","display_name":"analgesia","score":0.43299999833106995},{"id":"https://openalex.org/keywords/pancreatic-endotherapy","display_name":"pancreatic endotherapy","score":0.4440000057220459},{"id":"https://openalex.org/keywords/pancreatic-duct-cannulation","display_name":"pancreatic duct cannulation","score":0.32499998807907104},{"id":"https://openalex.org/keywords/surgical-risk-stratification","display_name":"surgical risk stratification","score":0.3449999988079071}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9541000127792358},{"id":"https://openalex.org/C2781117068","wikidata":"https://www.wikidata.org/wiki/Q6493082","display_name":"Laser lithotripsy","level":3,"score":0.583899974822998},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5209000110626221},{"id":"https://openalex.org/C2777950166","wikidata":"https://www.wikidata.org/wiki/Q2463395","display_name":"Lithotripsy","level":2,"score":0.5203999876976013},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.46149998903274536},{"id":"https://openalex.org/C520434653","wikidata":"https://www.wikidata.org/wiki/Q38867","display_name":"Laser","level":2,"score":0.2612000107765198},{"id":"https://openalex.org/C2780775027","wikidata":"https://www.wikidata.org/wiki/Q17141389","display_name":"Salvage therapy","level":3,"score":0.21130000054836273},{"id":"https://openalex.org/C2775955145","wikidata":"https://www.wikidata.org/wiki/Q490257","display_name":"Laser coagulation","level":3,"score":0.2110999971628189},{"id":"https://openalex.org/C2993195213","wikidata":"https://www.wikidata.org/wiki/Q851186","display_name":"Laser therapy","level":3,"score":0.2078000009059906},{"id":"https://openalex.org/C2778764654","wikidata":"https://www.wikidata.org/wiki/Q9618","display_name":"Pancreas","level":2,"score":0.19020000100135803}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1055/s-0046-1828929","doi":"https://doi.org/10.1055/s-0046-1828929","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0046-1828929","pdf_url":null,"source":{"id":"https://openalex.org/S2765022469","display_name":"Journal of Digestive Endoscopy","issn_l":"0976-5042","issn":["0976-5042","0976-5050"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Digestive Endoscopy","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1055/s-0046-1828929","doi":"https://doi.org/10.1055/s-0046-1828929","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0046-1828929","pdf_url":null,"source":{"id":"https://openalex.org/S2765022469","display_name":"Journal of Digestive Endoscopy","issn_l":"0976-5042","issn":["0976-5042","0976-5050"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Digestive Endoscopy","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2014984952","https://openalex.org/W7163696112","https://openalex.org/W4395034543","https://openalex.org/W2909175272","https://openalex.org/W4200621523","https://openalex.org/W2955546504","https://openalex.org/W2048569439","https://openalex.org/W2020587258","https://openalex.org/W3211181865","https://openalex.org/W4387410739"],"abstract_inverted_index":{"Background":[0],"Obstructing":[1],"pancreatic":[2,38,47,91,122,238],"calculi":[3],"refractory":[4],"to":[5,59,159,184,211],"standard":[6,70,144],"endoscopic":[7],"retrograde":[8],"cholangiopancreatography":[9],"(ERCP)":[10],"represent":[11],"a":[12,50],"therapeutic":[13,35,129,256,299],"challenge,":[14],"particularly":[15],"in":[16,32,171,218,231,236,240,251,265,274],"patients":[17,33,45,74,114,254],"who":[18,258],"decline":[19,259],"surgery.":[20,260],"We":[21],"report":[22],"outcomes":[23,95],"of":[24,43,325],"pancreatoscopy-guided":[25,79],"holmium":[26,80],"laser":[27,81,133,136,244],"lithotripsy":[28,245],"as":[29,57,296,339],"salvage":[30,249],"endotherapy":[31,48,145],"with":[34,255],"exhaustion":[36,54,130,257],"during":[37],"ERCP.":[39],"Methods":[40],"Retrospective":[41],"analysis":[42],"47":[44,113],"undergoing":[46,121],"at":[49,186],"tertiary":[51],"center.":[52],"Therapeutic":[53],"was":[55,85,156,169,216,272],"defined":[56],"failure":[58],"achieve":[60],"guidewire":[61],"or":[62,163],"accessory":[63],"advancement":[64],"beyond":[65],"the":[66,143,181,266,297,323,326,340],"obstructing":[67],"calculus":[68],"despite":[69],"ERCP":[71],"techniques.":[72],"All":[73],"meeting":[75],"this":[76],"criterion":[77],"underwent":[78,132],"lithotripsy.":[82,134],"Primary":[83],"outcome":[84],"laser-assisted":[86],"technical":[87,167],"success":[88,168],"(cannulation":[89],"and":[90,108,131,335,349],"stent":[92],"placement).":[93],"Secondary":[94],"included":[96],"stone":[97,175,263,279,294],"clearance,":[98],"pain":[99],"response":[100,215],"(Numeric":[101],"Rating":[102],"Scale,":[103],"NRS":[104,207],"0\u201310),":[105],"adverse":[106],"events,":[107],"surgical":[109],"crossover.":[110],"Results":[111],"Of":[112],"(mean":[115,147,189],"age":[116],"37.2":[117],"years,":[118],"M:F":[119],"33:14)":[120],"endotherapy,":[123],"16":[124],"(34%)":[125],"met":[126],"criteria":[127],"for":[128],"The":[135,311],"group":[137,146],"had":[138],"significantly":[139],"larger":[140],"stones":[141],"than":[142,292],"10.8":[148],"vs.":[149,200],"4.6":[150],"mm,":[151],"p":[152,203],"<":[153],"0.001).":[154],"Surgery":[155],"declined":[157],"due":[158],"patient":[160],"preference":[161],"(62.5%)":[162],"comorbidities":[164],"(37.5%).":[165],"Laser-assisted":[166],"achieved":[170,217,225,273],"14/16":[172],"(87.5%).":[173],"Complete":[174,213],"clearance":[176,198,264,283],"improved":[177,208],"from":[178,209],"31.2%":[179],"after":[180],"index":[182],"procedure":[183],"43.8%":[185],"last":[187],"follow-up":[188],"12.1":[190],"months).":[191],"Proximal":[192,276],"+":[193,277],"distal":[194,278],"distribution":[195,280],"predicted":[196,281],"incomplete":[197,262,282],"(12.5%":[199],"71.4%":[201],"proximal-only,":[202],"=":[204],"0.041).":[205],"Baseline":[206],"7.2":[210],"0.5.":[212],"clinical":[214],"15/16":[219],"(93.8%);":[220],"all":[221],"technically":[222],"successful":[223],"cases":[224],"complete":[226,293],"response.":[227],"Adverse":[228],"events":[229],"occurred":[230],"3/16":[232],"(18.8%):":[233],"postprocedure":[234],"pancreatitis":[235,253],"1,":[237,357],"infection":[239],"2.":[241],"Conclusion":[242],"Pancreatoscopy-guided":[243],"is":[246,314,343],"an":[247,315],"effective":[248],"strategy":[250],"chronic":[252],"Despite":[261],"majority,":[267],"clinically":[268],"meaningful":[269],"symptom":[270,286],"control":[271],"93.8%.":[275],"without":[284],"compromising":[285],"outcomes,":[287],"supporting":[288],"ductal":[289],"decompression":[290],"rather":[291],"eradication":[295],"primary":[298],"goal.":[300],"Publication":[301],"History":[302],"Article":[303],"published":[304,319],"online:":[305],"27":[306],"August":[307],"2026":[308],"\u00a9":[309],"2024.":[310],"Author(s).":[312],"This":[313],"open":[316],"access":[317],"article":[318],"by":[320],"Thieme":[321,347],"under":[322],"terms":[324],"Creative":[327],"Commons":[328],"Attribution":[329],"License,":[330],"permitting":[331],"unrestricted":[332],"use,":[333],"distribution,":[334],"reproduction":[336],"so":[337],"long":[338],"original":[341],"work":[342],"properly":[344],"cited.":[345],"(https://creativecommons.org/licenses/by/4.0/)":[346],"Medical":[348],"Scientific":[350],"Publishers":[351],"Private":[352],"Limited":[353],"A-13A,":[354],"Graphix":[355],"Tower":[356],"6th":[358],"floor,":[359],"Sector":[360],"62,":[361],"Noida":[362],"201309,":[363],"Uttar":[364],"Pradesh,":[365],"India":[366]},"counts_by_year":[],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2026-08-28T00:00:00"}