Evidence map›Paper›PMID 26839539›Full record

ReviewGastroenterology research and practice2016

Interventional Treatment of Abdominal Compartment Syndrome during Severe Acute Pancreatitis: Current Status and Historical Perspective.

Dejan V Radenkovic, Colin D Johnson, Natasa Milic, Pavle Gregoric, Nenad Ivancevic, Mihailo Bezmarevic, Dragoljub Bilanovic, Vladimir Cijan, Andrija Antic, Djordje Bajec

Open access · goldAbstract readReview
In one paragraph

Review in Gastroenterology research and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Open Abdomen in a Critically Ill Patient.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020
    Review
  6. Review
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

10 authors at 4 institutions in 2 countries.

Dejan V RadenkovicClinic for Digestive Surgery, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Colin D JohnsonDepartment of Surgery, University Hospital Southampton, Southampton, UK.
Natasa MilicInstitute for Biostatistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Pavle GregoricClinic for Emergency Surgery, Emergency Center, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Nenad IvancevicClinic for Emergency Surgery, Emergency Center, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Mihailo BezmarevicClinic for Surgery, Military Medical Academy, Belgrade, Serbia.
Dragoljub BilanovicClinic for Surgery, Clinical Center "Bezanijska Kosa", Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Vladimir CijanClinic for Surgery, Clinical Center "Zvezdara", Belgrade, Serbia.
Andrija AnticClinic for Digestive Surgery, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Djordje BajecClinic for Digestive Surgery, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
University of Belgrade · RSKliničko Bolnički Centar Zvezdara · RSMilitary Medical Academy · RSUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Abdominal compartment syndrome (ACS) in patients with severe acute pancreatitis (SAP) is a marker of severe disease. It occurs as combination of inflammation of retroperitoneum, visceral edema, ascites, acute peripancreatic fluid collections, paralytic ileus, and aggressive fluid resuscitation. The frequency of ACS in SAP may be rising due to more aggressive fluid resuscitation, a trend towards conservative treatment, and attempts to use a minimally invasive approach. There remains uncertainty about the most appropriate surgical technique for the treatment of ACS in SAP. Some unresolved questions remain including medical treatment, indications, timing, and interventional techniques. This review will focus on interventional treatment of this serious condition. First line therapy is conservative treatment aiming to decrease IAP and to restore organ dysfunction. If nonoperative measures are not effective, early abdominal decompression is mandatory. Midline laparostomy seems to be method of choice. Since it carries significant morbidity we need randomized studies to establish firm advantages over other described techniques. After ACS resolves efforts should be made to achieve early primary fascia closure. Additional data are necessary to resolve uncertainties regarding ideal timing and indication for operative treatment.

Identifiers

PMID26839539
PMCPMC4709671
OpenAlexW2200652278

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.