Evidence map›Paper›PMID 21847695›Full record

ArticleSurgical endoscopy2012

Transgastric endoscopic pneumoperitoneum versus laparoscopy: effects on host systemic and peritoneal inflammatory responses in a porcine model.

Vinay Sood, Clyde Collins, Susan Harrington, Amy Hahn, Ashar Ata, Amee Mapara-Shah, Warner Wang, Ward Dunnican

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. The Length of Surgical Skin Incision in Postoperative Inflammatory Reaction.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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

8 authors at 1 institution in 1 country.

Vinay SoodDepartment of Gastroenterology, Albany Medical College, 47 New Scotland Ave., MC 48, Albany, NY 12208, USA. soodv@mail.amc.edu
Clyde Collins
Susan Harrington
Amy Hahn
Ashar Ata
Amee Mapara-Shah
Warner Wang
Ward Dunnican
Albany Medical Center Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe host systemic and peritoneal immune responses during natural orifice transluminal endoscopic surgery (NOTES) continues to be delineated. The immune response to laparoscopy (LAP) has been favorably depicted. However, the immunologic effects of NOTES are yet to be determined, and the introduction of contaminants via the host orificium may have deleterious effects. The purpose of this study was to characterize the effect that NOTES would have on porcine systemic and peritoneal immune function.

methodsTwenty-four pigs were divided into three groups: ENDO (upper-endoscopy control), NOTES, and LAP. All animals had blood and peritoneal lavage samples collected for cytokine analysis pre- and postoperatively. Interleukin-1β (IL-1β), interleukin-6 (IL-6), interleukin-10 (IL-10), tumor necrosis factor α (TNFα), and interferon γ (IFNγ) levels were quantified using enzyme-linked immunosorbent assay (ELISA). Peritoneal lavage samples were cultured and identified by group and time of collection for microbiological analysis.

resultsTNFα was found in detectable levels in serum samples of all three groups. For the NOTES group, there was a significant increase in TNFα at t = 1 h (P < 0.01), which dropped significantly at t = 48 h (P < 0.01). IL-1β was present as an early response in NOTES lavage samples (t = 0 and t = 1 h). Both LAP and NOTES had similar elevation of IL-1β in the final lavage samples at t = 48 h. The other cytokines were not consistently found above detectable levels in any group. Similar microbiological contaminants were found in the ENDO and LAP groups. In the NOTES group, no significant growth was observed from cultures at 48 h.

conclusionsFor measurable cytokines, the NOTES inflammatory response was not significantly different from that of the LAP group. NOTES did not carry a significantly increased amount of microbiological contamination at 48 h compared to LAP. These data suggest that the host immune response to NOTES does not significantly differ from that to LAP in a porcine model.

Indexed as

AnimalsAscitic FluidCytokinesDisease Models, AnimalFemaleGastroscopyImmunity, CellularLaparoscopyNatural Orifice Endoscopic SurgeryPeritoneal LavagePeritonitisPneumoperitoneum, ArtificialProspective StudiesRandom AllocationSwineSystemic Inflammatory Response SyndromeCytokines

Identifiers

PMID21847695
OpenAlexW2025606755

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.