Evidence map›Paper›PMID 27835806›Full record

ArticleInternational journal of surgery case reports2016

The management of gastric volvulus in elderly patients.

Toru Zuiki, Yoshinori Hosoya, Alan Kawarai Lefor, Hiroyuki Tanaka, Toshihide Komatsubara, Yuzo Miyahara, Yukihiro Sanada, Jun Ohki, Chuji Sekiguchi, Naohiro Sata

Open access · goldAbstract read
In one paragraph

Article in International journal of surgery case reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  14. A 90-year-old man presents with abdominal pain.Journal of the American College of Emergency Physicians open · 2022
    Article
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  20. An Unusual Cause of Vomiting in the Elderly.Chonnam medical journal · 2021
    Article
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 3 institutions in 1 country.

Toru ZuikiDepartment of Surgery, Yuki Hospital, Yuki 9629-1, Yuki City, Ibaraki, Japan. Electronic address: th-zuiki@jichi.ac.jp.
Yoshinori HosoyaDepartment of Surgery, Jichi Medical University, Yakushiji 3311-1, Shimotsuke City, Tochigi, Japan.
Alan Kawarai LeforDepartment of Surgery, Jichi Medical University, Yakushiji 3311-1, Shimotsuke City, Tochigi, Japan.
Hiroyuki TanakaDepartment of Surgery, Koganei Chuo Hospital, Koganei 2-4-3, Shimotsuke City, Tochigi, Japan.
Toshihide KomatsubaraDepartment of Surgery, Yuki Hospital, Yuki 9629-1, Yuki City, Ibaraki, Japan.
Yuzo MiyaharaDepartment of Surgery, Yuki Hospital, Yuki 9629-1, Yuki City, Ibaraki, Japan.
Yukihiro SanadaDepartment of Surgery, Jichi Medical University, Yakushiji 3311-1, Shimotsuke City, Tochigi, Japan.
Jun OhkiDepartment of Surgery, Yuki Hospital, Yuki 9629-1, Yuki City, Ibaraki, Japan.
Chuji SekiguchiDepartment of Surgery, Nasu Minami Hospital, Chuo 3-2-13, Nasukarasuyama City, Tochigi, Japan.
Naohiro SataDepartment of Surgery, Jichi Medical University, Yakushiji 3311-1, Shimotsuke City, Tochigi, Japan.
Jichi Medical University · JPSapporo Minami Hospital · JPYuki Animal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGastric volvulus is torsion of the stomach and requires immediate treatment. The optimal treatment strategy for patients with gastric volvulus is not established, because of significant variations in the cause and clinical course of this condition. PRESENTATION OF CASES: We describe our experience with six elderly patients with gastric volvulus caused by different conditions using various approaches. This includes two patients managed with endoscopic reduction, followed by endoscopic or laparoscopic gastropexy. DISCUSSION: Endoscopy is a necessary first step to determine the optimal treatment strategy, and endoscopic reduction is often effective. The indications for surgical repair of gastric volvulus depend on the patient's overall condition, and several options are available. In some elderly patients with severe comorbidities, major surgery may have an unacceptably high risk. We propose a novel treatment strategy for gastric volvulus in the elderly and a review of the literature.

conclusionEarly endoscopy is necessary in patients with gastric volvulus. Endoscopic or laparoscopic gastropexy may be adequate therapy in selected elderly patients.

Indexed as

Case reportEndoscopic reductionEsophageal hiatal herniaGastric volvulusGastropexyLaparoscopic surgery

Identifiers

PMID27835806
PMCPMC5107685
OpenAlexW2542954054

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.