Evidence map›Paper›PMID 25331790›Full record

ArticleAnnals of gastroenterology2014

Can early endoscopic ultrasound predict pancreatic necrosis in acute pancreatitis?

Surinder S Rana, Deepak K Bhasin, Vishal Sharma, Ravi Sharma, Vinita Chaudhary, Puneet Chhabra

Open access · greenAbstract read
PubMed Full text at PMC
In one paragraph

Article in Annals of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Predicting Severity of Acute Pancreatitis.Medicina (Kaunas, Lithuania) · 2022
    Review
  4. Review
  5. 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

6 authors at 1 institution in 1 country.

Surinder S RanaDepartment of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.
Deepak K BhasinDepartment of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.
Vishal SharmaDepartment of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.
Ravi SharmaDepartment of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.
Vinita ChaudharyDepartment of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.
Puneet ChhabraDepartment of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPresence of pancreatic/extrapancreatic necroses (PN/EPN) is an important prognostic indicator in acute pancreatitis (AP) and their early detection is a challenge. Endoscopic ultrasound (EUS) provides high resolution images of pancreas but there is paucity of data on its role in AP.

methodsConsecutive patients with AP seen at our center from December 2012-November 2013 and presenting within 5 days of onset of symptoms were prospectively enrolled. EUS was done on the day of admission with a radial echoendoscope and pancreatic/peripancreatic findings were compared with the abdominal computed tomography (CT) findings performed on day 7.

resultsOf the 46 patients evaluated, 14 were excluded, and 32 patients (22 male; age 40.68±12.46 years) underwent EUS at admission. The etiology of AP was alcohol in 16, gallstones in 13, and idiopathic in 3 patients. Necrotizing pancreatitis was present in 20 (62%) patients, and mean CT severity index was 6.45±2.96. In patients without PN (n=12), EUS revealed normal echo pattern in 6 patients and diffusely hyperechoic and enlarged pancreas in 6 patients. In patients with PN/EPN, EUS revealed multiple hypoechoic areas (>5 mm) in 5 patients, multiple hyperechoic areas (>5 mm) in 7 patients and mixed hypo and hyperechoic areas in 8 patients. Also, 13 of these patients had peripancreatic hypoechoic areas that correlated with EPN. Moreover, EUS detected common bile duct (CBD) stones in two patients, pleural effusion in 17 patients, and ascites in 15 patients.

conclusionEUS done at admission can reliably detect PN and co-existent disorders like CBD stones.

Indexed as

acute pancreatitisEndosonographypancreatic necrosis

Identifiers

PMID25331790
PMCPMC4188941
OpenAlexW2114785517

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.