Evidence map›Paper›PMID 25759543›Full record

ArticleWorld journal of gastroenterology2015

Continuous suture of the pancreatic stump and Braun enteroenterostomy in pancreaticoduodenectomy.

Hong-Bo Meng, Bo Zhou, Fan Wu, Jie Xu, Zhen-Shun Song, Jian Gong, Mahbuba Khondaker, Bin Xu

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

Article in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 3 pooled it
0.6field-weighted citation impact, top 30% 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, 3 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. 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.

Hong-Bo MengHong-Bo Meng, Bo Zhou, Zhen-Shun Song, Jian Gong, Bin Xu, Department of General Surgery, Shanghai 10 People's Hospital, Tongji University School of Medicine, Shanghai 200072, China.
Bo ZhouHong-Bo Meng, Bo Zhou, Zhen-Shun Song, Jian Gong, Bin Xu, Department of General Surgery, Shanghai 10 People's Hospital, Tongji University School of Medicine, Shanghai 200072, China.
Fan WuHong-Bo Meng, Bo Zhou, Zhen-Shun Song, Jian Gong, Bin Xu, Department of General Surgery, Shanghai 10 People's Hospital, Tongji University School of Medicine, Shanghai 200072, China.
Jie XuHong-Bo Meng, Bo Zhou, Zhen-Shun Song, Jian Gong, Bin Xu, Department of General Surgery, Shanghai 10 People's Hospital, Tongji University School of Medicine, Shanghai 200072, China.
Zhen-Shun SongHong-Bo Meng, Bo Zhou, Zhen-Shun Song, Jian Gong, Bin Xu, Department of General Surgery, Shanghai 10 People's Hospital, Tongji University School of Medicine, Shanghai 200072, China.
Jian GongHong-Bo Meng, Bo Zhou, Zhen-Shun Song, Jian Gong, Bin Xu, Department of General Surgery, Shanghai 10 People's Hospital, Tongji University School of Medicine, Shanghai 200072, China.
Mahbuba KhondakerHong-Bo Meng, Bo Zhou, Zhen-Shun Song, Jian Gong, Bin Xu, Department of General Surgery, Shanghai 10 People's Hospital, Tongji University School of Medicine, Shanghai 200072, China.
Bin XuHong-Bo Meng, Bo Zhou, Zhen-Shun Song, Jian Gong, Bin Xu, Department of General Surgery, Shanghai 10 People's Hospital, Tongji University School of Medicine, Shanghai 200072, China.
Tongji University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate a new modification of pancreaticoduodenectomy (PD)-a mesh-like running suturing of the pancreatic remnant and Braun's enteroenterostomy.

methodsTwo hundred and three patients underwent PD from 2009 to 2014 and were classified into two groups: Group A (98 patients), who received PD with a mesh-like running suturing for the pancreatic remnant, and Braun's enteroenterostomy; and Group B (105 patients), who received standard PD. Demographic data, intraoperative findings, postoperative morbidity and perioperative mortality between the two groups were compared by univariate and multivariate analysis.

resultsDemographic characteristics between Group A and Group B were comparable. There were no significant differences between the two groups concerning perioperative mortality, and operative blood loss, as well as the incidence of the postoperative morbidity, including reoperation, bile leakage, intra-abdominal fluid collection or infection, and postoperative bleeding. Clinically relevant postoperative pancreatic fistula (POPF) and delayed gastric emptying (DGE) were identified more frequently in Group B than in Group A. Technique A (PD with a mesh-like running suturing of the pancreatic remnant and Braun's enteroenterostomy) was independently associated with decreased clinically relevant POPF and DGE, with an odds ratio of 0.266 (95%CI: 0.109-0.654, P = 0.004) for clinically relevant POPF and 0.073 (95%CI: 0.010-0.578, P = 0.013) for clinically relevant DGE.

conclusionAn additional mesh-like running suturing of the pancreatic remnant and Braun's enteroenterostomy during PD decreases the incidence of postoperative complications and is beneficial for patients.

Indexed as

EnterostomyPancreaticoduodenectomySuture TechniquesAgedAged, 80 and overBlood Loss, SurgicalChi-Square DistributionFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioPancreasPostoperative ComplicationsBraun’s enteroenterostomyDelayed gastric emptyingPancreaticoduodenectomyPostoperative pancreatic fistulaRunning suture

Identifiers

PMID25759543
PMCPMC4351225
OpenAlexW1967850433

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.