Evidence map›Paper›PMID 25207658›Full record

SynthesisPancreas2014

Portal annular pancreas: a systematic review of a clinical challenge.

Jonathan M Harnoss, Julian C Harnoss, Markus K Diener, Pietro Contin, Alexis B Ulrich, Markus W Büchler, Friedrich H Schmitz-Winnenthal

Open access · hybridAbstract readCase ReportsSystematic Review
In one paragraph

Synthesis in Pancreas, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
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  6. Article
  7. Robotic Pancreaticoduodenectomy Using theSurgical case reports · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Circumportal pancreas: A report of two cases.Annals of hepato-biliary-pancreatic surgery · 2019
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Optimal literature search for systematic reviews in surgery.Langenbeck's archives of surgery · 2018
    Review
  19. 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

7 authors at 1 institution in 1 country.

Jonathan M HarnossFrom the Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany.
Julian C Harnoss
Markus K Diener
Pietro Contin
Alexis B Ulrich
Markus W Büchler
Friedrich H Schmitz-Winnenthal
Heidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Portal annular pancreas (PAP) is an asymptomatic congenital pancreas anomaly, in which portal and/or mesenteric veins are encased by pancreas tissue. The aim of the study was to determine the role of PAP in pancreatic surgery as well as its management and potential complication, specifically, postoperative pancreatic fistula (POPF).On the basis of a case report, the MEDLINE and ISI Web of Science databases were systematically reviewed up to September 2012. All articles describing a case of PAP were considered.In summary, 21 studies with 59 cases were included. The overall prevalence of PAP was 2.4% and the patients' mean (SD) age was 55.9 (16.2) years. The POPF rate in patients with PAP (12 pancreaticoduodenectomies and 3 distal pancreatectomies) was 46.7% (in accordance with the definition of the International Study Group of Pancreatic Surgery).Portal annular pancreas is a quite unattended pancreatic variant with high prevalence and therefore still remains a clinical challenge to avoid postoperative complications. To decrease the risk for POPF, attentive preoperative diagnostics should also focus on PAP. In pancreaticoduodenectomy, a shift of the resection plane to the pancreas tail should be considered; in extensive pancreatectomy, coverage of the pancreatic remnant by the falciform ligament could be a treatment option.

Indexed as

Adrenal Gland NeoplasmsDelayed DiagnosisDisease ManagementFemaleHumansIncidental FindingsInfant, NewbornMaleMiddle AgedPancreasPancreatectomyPancreatic DiseasesPancreatic FistulaPancreaticoduodenectomyPancreaticojejunostomyPostoperative Complications

Identifiers

PMID25207658
PMCPMC4175015
OpenAlexW2022646213

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.