Evidence map›Paper›PMID 11066140›Full record

ArticleAnnals of surgery2000

Logistics and technique for procurement of intestinal, pancreatic, and hepatic grafts from the same donor.

K Abu-Elmagd, J Fung, J Bueno, D Martin, J R Madariaga, G Mazariegos, G Bond, E Molmenti, R J Corry, T E Starzl and 1 more

Abstract read
In one paragraph

Article in Annals of surgery, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Review
  4. Intestinal Donation and Utilization: Single-Center Analysis Within Eurotransplant.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  5. Article
  6. [Procurement of abdominal organs].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020
    Article
  7. Review
  8. Extracorporeal Hypothermic Perfusion Device for Intestinal Graft Preservation to Decrease Ischemic Injury During Transportation.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016
    Article
  9. The concept of gut rehabilitation and the future of visceral transplantation.Nature reviews. Gastroenterology & hepatology · 2015
    Review
  10. [Technique of liver procurement in postmortem donation].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2013
    Review
  11. Multivisceral transplantation: expanding indications and improving outcomes.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2013
    Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Small intestinal transplantation.Current gastroenterology reports · 2001
    Review
  18. Article
  19. Ninety-five cases of intestinal transplantation at the University of Miami.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
    Article
  20. Article
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

11 authors.

K Abu-ElmagdThomas E. Starzl Transplantation Institute, Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA. kae@med.pitt.edu
J Fung
J Bueno
D Martin
J R Madariaga
G Mazariegos
G Bond
E Molmenti
R J Corry
T E Starzl
J Reyes

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess a technique for simultaneous recovery of the intestine, pancreas, and liver from the same donor. SUMMARY BACKGROUND DATA: With the more frequent use of pancreatic and intestinal transplantation, a procurement procedure is needed that permits retrieval of both organs as well as the liver from the same cadaveric donor for transplantation to different recipients. It is believed by many procurement officers and surgeons, however, that this objective is not technically feasible.

methodsA technique for simultaneous recovery of the intestine, pancreas, and liver was used in 13 multiorgan cadaver donors during a 26-month period, with transplantation of the organs to 33 recipients. The intestine was removed from 11 donors separately and in continuity with the pancreas in the other 2. Six additional pancreases were excised and transplanted separately. Thirteen livers were retrieved, one of which was discarded because of steatorrhea. Ten of the remaining 12 livers were transplanted intact; the other 2 were split in situ and used as reduced-size hepatic allografts in four recipients.

resultsNone of the 11 intestinal, 6 pancreatic, 2 intestinal-pancreatic, or 14 whole or partial liver allografts sustained serious ischemic injury or were lost as a result of technical complications. One liver recipient died 25 months after surgery of recurrent C virus hepatitis. The other 32 recipients had adequate allograft function with a mean follow-up of 8 months.

conclusionIt was possible using the described technique to retrieve intestine, pancreas, and liver allografts safely from the same donor and to transplant these organs to different recipients.

Indexed as

Liver TransplantationPancreas TransplantationAdolescentAdultCadaverChildChild, PreschoolDissectionFemaleHumansInfantIntestine, SmallMaleMiddle AgedOrgan PreservationOrgan Preservation Solutionshydroxyethyl starch-free University of Wisconsin solutionOrgan Preservation Solutions

Identifiers

PMID11066140
PMCPMC1421222

What OpenQuestion holds

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Registered trials

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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.