Evidence map›Paper›PMID 26302879›Full record

Trial reportJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2015

Octreotide Does Not Prevent Pancreatic Fistula Following Pancreatoduodenectomy in Patients with Soft Pancreas and Non-dilated Duct: A Prospective Randomized Controlled Trial.

Prakash Kurumboor, Kamalesh Nadothottam Palaniswami, K Pramil, Deepak George, Shaji Ponnambathayil, Deepak Varma, Sylesh Aikot

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01301222 (Randomized Controlled Trial on Role of Octreotide in Preventing Pancreatic Fistula and Complications After Pancreaticoduodenectomy in Patients With Soft Pancreas), which is not on this map. Cited by 27 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 10 pooled it
3.4field-weighted citation impact, top 6% 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.

NCT01301222 phase4completednot on this map

Randomized Controlled Trial on Role of Octreotide in Preventing Pancreatic Fistula and Complications After Pancreaticoduodenectomy in Patients With Soft Pancreas

TypeinterventionalSponsorPVS Memorial HospitalRan2010 to 2015Enrolled110ConditionsPancreatic FistulaArmsInj. Octreotide
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 10 syntheses or guidelines pooled it, 61 citations in OpenAlex.

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  5. Efficacy of Pasireotide for Prevention of Postoperative Pancreatic Fistula in Pancreatic Surgery: a Systematic Review and Meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
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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

7 authors at 1 institution in 1 country.

Prakash KurumboorDepartment of GI Surgery, PVS Memorial Hospital, Kaloor, Kochi, Kerala, India, 682017. kdrprakash@gmail.com.ORCID http://orcid.org/0000-0002-7831-0901
Kamalesh Nadothottam PalaniswamiDepartment of GI Surgery, PVS Memorial Hospital, Kaloor, Kochi, Kerala, India, 682017.
K PramilDepartment of GI Surgery, PVS Memorial Hospital, Kaloor, Kochi, Kerala, India, 682017.
Deepak GeorgeDepartment of GI Surgery, PVS Memorial Hospital, Kaloor, Kochi, Kerala, India, 682017.
Shaji PonnambathayilDepartment of GI Surgery, PVS Memorial Hospital, Kaloor, Kochi, Kerala, India, 682017.
Deepak VarmaDepartment of GI Surgery, PVS Memorial Hospital, Kaloor, Kochi, Kerala, India, 682017.
Sylesh AikotDepartment of GI Surgery, PVS Memorial Hospital, Kaloor, Kochi, Kerala, India, 682017.
PVS Memorial Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhether octreotide prevents pancreatic fistula following pancreatoduodenectomy is controversial and it is believed to be beneficial in soft glands and normal-sized ducts. The aim of this study is to assess the potential value of octreotide in reducing the incidence of pancreatic fistula, postoperative complications, morbidity and hospital stay in patients with soft pancreas and non-dilated ducts.

methodsA total of 109 patients undergoing elective pancreatoduodenectomy with soft pancreas and non-dilated duct were randomized to octreotide group versus no octreotide-the control group. Surgical steps were standardized and incidences of pancreatic fistula, complications, death and hospital stay were assessed.

resultsThere were 55 patients in octreotide group and 54 in the control group. Demographic features and pancreatic duct diameter of the groups were comparable. The rates of clinically significant pancreatic fistulae (grades B and C) were 10.9 and 18.5 % (p = ns), and morbidity was 18 and 29.6 % (p = ns), respectively. Patients who received octreotide resumed oral diet early and had a shorter hospital stay.

conclusionThis study demonstrated no statistical difference in pancreatic fistulae with the use of octreotide, though there was a trend towards fewer incidences of pancreatic fistulae, morbidity and shorter hospital stay. ClinicalTrials.gov Identifier: NCT01301222.

Indexed as

AdultAgedFemaleGastrointestinal AgentsHumansIncidenceLength of StayMaleMiddle AgedOctreotidePancreatic FistulaPancreaticoduodenectomyProspective StudiesGastrointestinal AgentsOctreotideOctreotidePancreatic fistulaPancreaticoduodenectomyRandomized controlled trial

Identifiers

PMID26302879
OpenAlexW1189745613

What OpenQuestion holds

Textmetadata
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Registered trials

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.