Evidence map›Paper›PMID 26185369›Full record

ReviewWorld journal of gastroenterology2015

Management of ampullary neoplasms: A tailored approach between endoscopy and surgery.

Francesca Panzeri, Stefano Crippa, Paola Castelli, Francesca Aleotti, Alessandro Pucci, Stefano Partelli, Giuseppe Zamboni, Massimo Falconi

Open access · bronzeAbstract readEditorialReview
In one paragraph

Review 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 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

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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.

Francesca PanzeriFrancesca Panzeri, Department of Surgery, Ospedale "Mater Salutis", 37045 Legnago, Italy.
Stefano CrippaFrancesca Panzeri, Department of Surgery, Ospedale "Mater Salutis", 37045 Legnago, Italy.
Paola CastelliFrancesca Panzeri, Department of Surgery, Ospedale "Mater Salutis", 37045 Legnago, Italy.
Francesca AleottiFrancesca Panzeri, Department of Surgery, Ospedale "Mater Salutis", 37045 Legnago, Italy.
Alessandro PucciFrancesca Panzeri, Department of Surgery, Ospedale "Mater Salutis", 37045 Legnago, Italy.
Stefano PartelliFrancesca Panzeri, Department of Surgery, Ospedale "Mater Salutis", 37045 Legnago, Italy.
Giuseppe ZamboniFrancesca Panzeri, Department of Surgery, Ospedale "Mater Salutis", 37045 Legnago, Italy.
Massimo FalconiFrancesca Panzeri, Department of Surgery, Ospedale "Mater Salutis", 37045 Legnago, Italy.
Ospedale degli Infermi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ampullary neoplasms, although rare, present distinctive clinical and pathological features from other neoplastic lesions of the periampullary region. No specific guidelines about their management are available, and they are often assimilated either to biliary tract or to pancreatic carcinomas. Due to their location, they tend to become symptomatic at an earlier stage compared to pancreatic malignancies. This behaviour results in a higher resectability rate at diagnosis. From a pathological point of view they arise in a zone of transition between two different epithelia, and, according to their origin, may be divided into pancreatobiliary or intestinal type. This classification has a substantial impact on prognosis. In most cases, pancreaticoduodenectomy represents the treatment of choice when there is an overt or highly suspicious malignant behaviour. The rate of potentially curative resection is as high as 90% and in high-volume centres an acceptable rate of complications is reported. In selected situations less invasive approaches, such as ampullectomy, have been advocated, although there are some concerns mainly because of a higher recurrence rate associated with limited resections for invasive carcinomas. Importantly, these methods have the drawback of not including an appropriate lymphadenectomy, while nodal involvement has been shown to be frequently present also in apparently low-risk carcinomas. Endoscopic ampullectomy is now the procedure of choice in case of low up to high-grade dysplasia providing a proper assessment of the T status by endoscopic ultrasound. In the present paper the evidence currently available is reviewed, with the aim of offering an updated framework for diagnosis and management of this specific type of disease.

Indexed as

Endoscopy, Digestive SystemPancreaticoduodenectomyAlgorithmsAmpulla of VaterCommon Bile Duct DiseasesCritical PathwaysHumansLymph Node ExcisionNeoplasm StagingPredictive Value of TestsRisk FactorsTreatment OutcomeAmpulla of VaterAmpullary neoplasmAmpullectomyCancer of the ampulla of VaterLymphadenectomyPancreaticoduodenectomyPrognosisRecurrence

Identifiers

PMID26185369
PMCPMC4499340
OpenAlexW983829486

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.