Evidence map›Paper›PMID 25009383›Full record

ReviewWorld journal of gastroenterology2014

Is routine drainage necessary after pancreaticoduodenectomy?

Qiang Wang, Yong-Jian Jiang, Ji Li, Feng Yang, Yang Di, Lie Yao, Chen Jin, De-Liang Fu

Open access · bronzeAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
0.7field-weighted citation impact, top 29% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Article
  7. Drain Placement After Pancreatic Resection: Friend or Foe For Surgical Site Infections?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
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  8. Review
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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.

Qiang WangQiang Wang, Yong-Jian Jiang, Ji Li, Feng Yang, Yang Di, Lie Yao, Chen Jin, De-Liang Fu, Department of Pancreatic Surgery, Pancreatic Disease Institute, Huashan Hospital Affiliated with Fudan University, Shanghai 200040, China.
Yong-Jian JiangQiang Wang, Yong-Jian Jiang, Ji Li, Feng Yang, Yang Di, Lie Yao, Chen Jin, De-Liang Fu, Department of Pancreatic Surgery, Pancreatic Disease Institute, Huashan Hospital Affiliated with Fudan University, Shanghai 200040, China.
Ji LiQiang Wang, Yong-Jian Jiang, Ji Li, Feng Yang, Yang Di, Lie Yao, Chen Jin, De-Liang Fu, Department of Pancreatic Surgery, Pancreatic Disease Institute, Huashan Hospital Affiliated with Fudan University, Shanghai 200040, China.
Feng YangQiang Wang, Yong-Jian Jiang, Ji Li, Feng Yang, Yang Di, Lie Yao, Chen Jin, De-Liang Fu, Department of Pancreatic Surgery, Pancreatic Disease Institute, Huashan Hospital Affiliated with Fudan University, Shanghai 200040, China.
Yang DiQiang Wang, Yong-Jian Jiang, Ji Li, Feng Yang, Yang Di, Lie Yao, Chen Jin, De-Liang Fu, Department of Pancreatic Surgery, Pancreatic Disease Institute, Huashan Hospital Affiliated with Fudan University, Shanghai 200040, China.
Lie YaoQiang Wang, Yong-Jian Jiang, Ji Li, Feng Yang, Yang Di, Lie Yao, Chen Jin, De-Liang Fu, Department of Pancreatic Surgery, Pancreatic Disease Institute, Huashan Hospital Affiliated with Fudan University, Shanghai 200040, China.
Chen JinQiang Wang, Yong-Jian Jiang, Ji Li, Feng Yang, Yang Di, Lie Yao, Chen Jin, De-Liang Fu, Department of Pancreatic Surgery, Pancreatic Disease Institute, Huashan Hospital Affiliated with Fudan University, Shanghai 200040, China.
De-Liang FuQiang Wang, Yong-Jian Jiang, Ji Li, Feng Yang, Yang Di, Lie Yao, Chen Jin, De-Liang Fu, Department of Pancreatic Surgery, Pancreatic Disease Institute, Huashan Hospital Affiliated with Fudan University, Shanghai 200040, China.
Huashan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With the development of imaging technology and surgical techniques, pancreatic resections to treat pancreatic tumors, ampulla tumors, and other pancreatic diseases have increased. Pancreaticoduodenectomy, one type of pancreatic resection, is a complex surgery with the loss of pancreatic integrity and various anastomoses. Complications after pancreaticoduodenectomy such as pancreatic fistulas and anastomosis leakage are common and significantly associated with patient outcomes. Pancreatic fistula is one of the most important postoperative complications; this condition can cause intraperitoneal hemorrhage, septic shock, or even death. An effective way has not yet been found to avoid the occurrence of pancreatic fistula. In most medical centers, the frequency of pancreatic fistula has remained between 9% and 13%. The early detection and routine drainage of anastomotic fistulas, pancreatic fistulas, bleeding, or other intra-abdominal fluid collections after pancreatic resections are considered as important and effective ways to reduce postoperative complications and the mortality rate. However, many recent studies have argued that routine drainage after abdominal operations, including pancreaticoduodenectomies, does not affect the incidence of postoperative complications. Although inserting drains after pancreatic resections continues to be a routine procedure, its necessity remains controversial. This article reviews studies of the advantages and disadvantages of routine drainage after pancreaticoduodenectomy and discusses the necessity of this procedure.

Indexed as

DrainagePancreaticoduodenectomyAbdominal AbscessHumansPancreatic FistulaRisk FactorsTreatment OutcomeUnnecessary ProceduresDrainageFistulaIntra-abdominal infectionsPancreaticoduodenectomyPostoperative complicationsSuction

Identifiers

PMID25009383
PMCPMC4081682
OpenAlexW1967625576

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.