Evidence map›Paper›PMID 26902130›Full record

SynthesisHPB : the official journal of the International Hepato Pancreato Biliary Association2016

Short and long-term post-operative outcomes of duodenum preserving pancreatic head resection for chronic pancreatitis affecting the head of pancreas: a systematic review and meta-analysis.

Zaynab A R Jawad, Nicole Tsim, Madhava Pai, Dev Bansi, David Westaby, Panagiotis Vlavianos, Long R Jiao

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Chronic pancreatitis: how does surgery step in?Frontiers in gastroenterology (Lausanne, Switzerland) · 2026
    Review
  4. Surgical management of chronic pancreatitis: A narrative review.United European gastroenterology journal · 2025
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. A Network Meta-analysis of Surgery for Chronic Pancreatitis: Impact on Pain and Quality of Life.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
    Review
  10. Turkish Gastroenterology Association, Pancreas Study Group, Chronic Pancreatitis Committee Consensus Report.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2020
    Article
  11. Surgical treatment of pain in chronic pancreatitis.Current opinion in gastroenterology · 2018
    Review
  12. Review
  13. Evidence-Based Surgical Treatments for Chronic Pancreatitis.Deutsches Arzteblatt international · 2016
    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

7 authors at 1 institution in 1 country.

Zaynab A R JawadHepato-Pancreato-Biliary Surgical Unit, Department of Surgery and Cancer Imperial College, Hammersmith Hospital Campus, Du Cane Road, London, W12 0HS, UK.
Nicole TsimHepato-Pancreato-Biliary Surgical Unit, Department of Surgery and Cancer Imperial College, Hammersmith Hospital Campus, Du Cane Road, London, W12 0HS, UK.
Madhava PaiHepato-Pancreato-Biliary Surgical Unit, Department of Surgery and Cancer Imperial College, Hammersmith Hospital Campus, Du Cane Road, London, W12 0HS, UK.
Dev BansiDepartment of Gastroenterology, Hammersmith Hospital, Du Cane Road, London, W12 0HS, UK.
David WestabyDepartment of Gastroenterology, Hammersmith Hospital, Du Cane Road, London, W12 0HS, UK.
Panagiotis VlavianosDepartment of Gastroenterology, Hammersmith Hospital, Du Cane Road, London, W12 0HS, UK.
Long R JiaoHepato-Pancreato-Biliary Surgical Unit, Department of Surgery and Cancer Imperial College, Hammersmith Hospital Campus, Du Cane Road, London, W12 0HS, UK. Electronic address: l.jiao@imperial.ac.uk.
Hammersmith Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the short and long term outcomes of duodenum preserving pancreatic head resection (DPPHR) procedures in the treatment of painful chronic pancreatitis.

methodsA systematic literature search was performed to identify all comparative studies evaluating long and short term postoperative outcomes (pain relief, morbidity and mortality, pancreatic exocrine and endocrine function).

resultsFive published studies fulfilled the inclusion criteria including 1 randomized controlled trial comparing the Beger and Frey procedure. In total, 323 patients underwent surgical procedures for chronic pancreatitis, including Beger (n = 138) and Frey (n = 99), minimal Frey (n = 32), modified Frey (n = 25) and Berne's modification (n = 29). Two studies comparing the Beger and Frey procedure were entered into a meta-analysis and showed no difference in post-operative pain (RD = -0.06; CI -0.21 to 0.09), mortality (RD = 0.01; CI -0.03 to 0.05), morbidity (RD = 0.12; CI -0.00 to 0.24), exocrine insufficiency (RD = 0.04; CI -0.10 to 0.18) and endocrine insufficiency (RD = -0.14 CI -0.28 to 0.01).

conclusionAll procedures are equally effective for the management of pain for chronic pancreatitis. The choice of procedure should be determined by other factors including the presence of secondary complications of pancreatitis and intra-operative findings. Registration number CRD42015019275. Centre for Reviews and Dissemination, University of York, 2009.

Indexed as

Abdominal PainAdultFemaleHumansMaleMiddle AgedPancreatectomyPancreatitis, ChronicPostoperative ComplicationsRisk FactorsTime FactorsTreatment Outcome

Identifiers

PMID26902130
PMCPMC4814624
OpenAlexW2220358195

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.