Evidence map›Paper›PMID 29594895›Full record

ArticleEmergency radiology2018

Clinical implications of CT findings in mesenteric venous thrombosis at admission.

S Salim, O Ekberg, J Elf, M Zarrouk, A Gottsäter, S Acosta

Open access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Emergency radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Management of Acute Mesenteric Venous Thrombosis: A Systematic Review of Contemporary Studies.Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society · 2021
    Pooled it
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  11. The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021
    Article
  12. Primary mesenteric vein thrombosis: a case series.Journal of surgical case reports · 2020
    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

6 authors at 1 institution in 1 country.

S SalimDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
O EkbergDepartment of Translational Medicine, Division of Medical Radiology, Lund University, Malmö, Sweden.
J ElfDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
M ZarroukDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
A GottsäterDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
S AcostaDepartment of Clinical Sciences, Lund University, Malmö, Sweden. Stefan.acosta@med.lu.se.ORCID http://orcid.org/0000-0002-3225-0798
Lund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe main aim of this study was to evaluate the association of computed tomography (CT) findings at admission and bowel resection rate in patients with mesenteric venous thrombosis (MVT). It was hypothesized that abnormal intestinal findings on CT were associated with a higher bowel resection rate.

methodsRetrospective study of MVT patients treated between 2004 and 2017. CT images at admission and at follow-up were scrutinized according to a predefined protocol. Successful recanalization was defined as partial or complete recanalization of the portomesenteric venous thrombosis at the latest CT follow-up (n = 70).

resultsWe studied 102 patients (median age 58 years, 61 men). Lifelong anticoagulation was initiated in 64 patients, and bowel resection rate was 17%. No referral letter indicated suspicion of MVT, whereas three indicated suspected intestinal ischemia. Previous venous thromboembolism was associated with increased bowel resection rate (p = 0.049). No patient with acute pancreatitis (n = 17) underwent bowel resection (p = 0.068). The presence of mesenteric oedema (p = 0.014), small bowel wall oedema (p < 0.001), small bowel dilatation (p = 0.005), and ascites (p = 0.021) were associated with increased bowel resection rate. Small bowel wall oedema remained as an independent risk factor associated with bowel resection (OR 15.8 [95% CI 3.2-77.2]). Successful thrombus recanalization was achieved in 66% of patients.

conclusionThe presence of abnormal intestinal findings secondary to MVT confers an excess risk of need of bowel resection due to infarction. Responsible physicians should therefore scrutinize the CT images at diagnosis together with the radiologist to better tailor clinical surveillance.

Indexed as

Acute DiseaseAgedAnticoagulantsBiomarkersContrast MediaFemaleHumansInfarctionMaleMesenteric IschemiaMiddle AgedRetrospective StudiesRisk FactorsTomography, X-Ray ComputedVenous ThrombosisAnticoagulantsBiomarkersContrast MediaBowel resectionCTIntestinal ischemiaMesenteric venous thrombosis

Identifiers

PMID29594895
OpenAlexW2795249464

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.