Evidence map›Paper›PMID 26814716›Full record

ArticleLangenbeck's archives of surgery2016

Risk factors for delayed gastric emptying following distal pancreatectomy.

Tim R Glowka, Martin von Websky, Dimitrios Pantelis, Steffen Manekeller, Jens Standop, Jörg C Kalff, Nico Schäfer

Abstract read
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In one paragraph

Article in Langenbeck's archives of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Review
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  4. Observational
  5. Article
  6. Article
  7. Article
  8. The pancreas-to-muscle signal intensity ratio on TWorld journal of surgical oncology · 2022
    Article
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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 2 institutions in 1 country.

Tim R GlowkaDepartment of Surgery, University of Bonn, Sigmund-Freud-Strasse 25, Bonn, 53105, Germany. tim.glowka@ukb.uni-bonn.de.
Martin von WebskyDepartment of Surgery, University of Bonn, Sigmund-Freud-Strasse 25, Bonn, 53105, Germany.
Dimitrios PantelisDepartment of Surgery, University of Bonn, Sigmund-Freud-Strasse 25, Bonn, 53105, Germany.
Steffen ManekellerDepartment of Surgery, University of Bonn, Sigmund-Freud-Strasse 25, Bonn, 53105, Germany.
Jens StandopDepartment of Surgery, Krankenhaus Maria Stern, Am Anger 1, Remagen, 53424, Germany.
Jörg C KalffDepartment of Surgery, University of Bonn, Sigmund-Freud-Strasse 25, Bonn, 53105, Germany.
Nico SchäferDepartment of Surgery, University of Bonn, Sigmund-Freud-Strasse 25, Bonn, 53105, Germany.
University of Bonn · DEMaria Hilf Krankenhaus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDelayed gastric emptying (DGE) is a frequent complication after pancreatoduodenectomy and other types of upper gastrointestinal surgery with published incidences as high as 60 %. The present study examines the incidence of DGE following distal pancreatic resection (DPR).

methodsBetween 2002 and 2014, 100 patients underwent conventional DPR at our department. DGE was classified according to the 2007 International Study Group of Pancreatic Surgery definition. Patients were analyzed regarding severity of DGE, morbidity and mortality, length of hospital stay, and demographic factors.

resultsOverall incidence of DGE was 24 %. No difference in age, gender, or other demographic factors was observed in patients with DGE. Perioperative characteristics (splenectomy rate, closure technique of the pancreatic remnant, operation time, blood loss and transfusion, ICU, ASA score) were comparable. Major complications were associated with DGE (11/24 patients (46 %) vs. 19/76 patients (25 %) without DGE) and the rate of pancreatic fistula was significantly higher in the group of patients with DGE (14/24 patients (58 %) vs. 27/76 patients (36 %), P = 0.047). In multivariate analysis, a periampullary malignancy was shown to be a significant factor for DGE development. DGE significantly prolonged hospital stay (14 vs. 22 days).

conclusionsDGE is a substantial complication not only after pancreatoduodenectomy, but it also occurs frequently after DPR. Prevention of pancreatic fistula might reduce its incidence, especially in patients with malign pathology.

Indexed as

AdultAgedCohort StudiesFemaleGastroparesisHumansIncidenceLength of StayMaleMiddle AgedPancreatectomyPancreatic DiseasesPostoperative ComplicationsRisk FactorsDelayed gastric emptyingDGEDistal pancreatectomyDistal pancreatic resectionPancreatic left resection

Identifiers

PMID26814716
OpenAlexW2266185129

What OpenQuestion holds

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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.