Evidence map›Paper›PMID 29164508›Full record

ArticleObesity surgery2018

EUS-Guided Transrectal Evacuation of Organized Pelvic Collection Following Roux-en-Y Gastric Bypass After Failure of Radiological and Surgical Approach.

Gianfranco Donatelli, Jean-Loup Dumont, Fabrizio Cereatti, Bruto Randone, Bruno Meduri, Panagiotis Lainas, Hadrien Tranchart, Ibrahim Dagher

Abstract readCase ReportsVideo-Audio Media
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 22% 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, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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

8 authors at 3 institutions in 2 countries.

Gianfranco DonatelliDepartment of Interventional Endoscopy, Peupliers Private Hospital, Ramsay Générale de Santé, 8 Place de l'Abbé G. Hénocque, 75013, Paris, France. donatelligianfranco@gmail.com.ORCID 0000-0003-0645-1710
Jean-Loup DumontDepartment of Interventional Endoscopy, Peupliers Private Hospital, Ramsay Générale de Santé, 8 Place de l'Abbé G. Hénocque, 75013, Paris, France.
Fabrizio CereattiUnit of Gastrointestinal Endoscopy and Gastroenterology, ASST Cremona, Cremona, Italy.
Bruto RandoneDepartment of Digestive Surgery, Hôpital Privé d'Antony, Ramsay Générale de Santé, 92160, Antony, France.
Bruno MeduriDepartment of Interventional Endoscopy, Peupliers Private Hospital, Ramsay Générale de Santé, 8 Place de l'Abbé G. Hénocque, 75013, Paris, France.
Panagiotis LainasDepartment of Minimally Invasive Digestive Surgery, Antoine-Beclere Hospital, (AP-HP), 92140, Clamart, France.
Hadrien TranchartDepartment of Minimally Invasive Digestive Surgery, Antoine-Beclere Hospital, (AP-HP), 92140, Clamart, France.
Ibrahim DagherDepartment of Minimally Invasive Digestive Surgery, Antoine-Beclere Hospital, (AP-HP), 92140, Clamart, France.
Générale de Santé · FRUniversité Paris-Saclay · FRIstituti Ospitalieri di Cremona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPostoperative collections are an important cause of morbidity following obesity surgery. Surgical revision is most often required if general sepsis is present. Conservative treatment consists of broad spectrum antibiotics and percutaneous drainage of any collection. EUS drainage is a new technique that is gaining momentum allowing an easy access to collections close to the GI tract. MATERIALS AND

methodsWe present the case report of a 39-year-old woman who underwent to robotic Roux-en-Y gastric bypass for morbid obesity. She developed a jejuno-jejunal dehiscence treated with revision surgery. Afterward, a pelvic collection/hematoma was highlighted; however, neither percutaneous approach nor surgery succeeded in draining it.

resultsEUS-guided deployment of a fully covered lumen-apposing metal stent was performed. Subsequently, two necrosectomies were required to remove necrotic tissue and clots from the perirectal cavity. Finally, three double pigtail stents were deployed to promote healing. The patient spontaneously expelled the stents with the stool, and she is asymptomatic after a follow-up of 3 months.

conclusionEUS transmural rectal drainage may represent a sound option for the treatment of pelvic postoperative collections. FCLAMS deployment guarantees a rapid drainage allowing to perform an endoscopic necrosectomy.

Indexed as

AdultDrainageEndoscopy, GastrointestinalFemaleGastric BypassHumansJejunumObesity, MorbidPelvisRadiographyRectumReoperationStentsSurgical Wound DehiscenceTreatment FailureUltrasonography, InterventionalInterventional EUS, LAMSIntra-abdominal collectionObesity surgeryPerirectal collectionRoux-en-Y gastric bypass

Identifiers

PMID29164508
OpenAlexW2770114190

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.