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ArticleDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2018

[Hyperspectral imaging of gastrointestinal anastomoses].

B Jansen-Winkeln, M Maktabi, J P Takoh, S M Rabe, M Barberio, H Köhler, T Neumuth, A Melzer, C Chalopin, I Gockel

3 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT03667950 naunknown statusnot on this map

Vascular Border Zone Definition Using Intraoperative Hyperspectral Imaging for Resections and Reconstructions in Diseases of the Esophagus, Stomach, Pancreas, Small Intestine, Large Intestine and Rectum to Optimize Anastomotic Healing

TypeinterventionalSponsorUniversity of LeipzigRan2018 to 2021Enrolled200ConditionsSurgical AnastomosisArmsHyperspectral Imaging
NCT04226781 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Comparison Between Fluorescenceimaging With Indocyaningreen (ICG) and Hyperspectralimagig (HSI) for Tissue Perfusion in Gastrointestinal Resections

TypeinterventionalSponsorUniversity of LeipzigRan2020 to 2021Enrolled50ConditionsAnastomosis, PerfusionArmsHyperspectral-Imaging, Indocyaningreen-Fluorescence imaging
NCT04589884 terminatednot on this mapstarted 2020, after this paper: background citation

Intraoperative EXamination Using MAChine-learning-based HYperspectral for diagNosis & Autonomous Anatomy Assessment

TypeobservationalSponsorIHU StrasbourgRan2020 to 2021Enrolled112ConditionsParathyroid Diseases, Thyroid Diseases, Liver Cancer, Liver MetastasesArmsHyperspectral Imaging
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Clinical applications of hyperspectral imaging in gastroenterology and hepatology: A systematic review.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
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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

10 authors.

B Jansen-WinkelnKlinik für Viszeral‑, Transplantations‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Leipzig AöR, Liebigstr. 20, 04103, Leipzig, Deutschland.
M MaktabiInnovation Center Computer Assisted Surgery (ICCAS), Universität Leipzig, Leipzig, Deutschland.
J P TakohKlinik für Viszeral‑, Transplantations‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Leipzig AöR, Liebigstr. 20, 04103, Leipzig, Deutschland.
S M RabeKlinik für Viszeral‑, Transplantations‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Leipzig AöR, Liebigstr. 20, 04103, Leipzig, Deutschland.
M BarberioKlinik für Viszeral‑, Transplantations‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Leipzig AöR, Liebigstr. 20, 04103, Leipzig, Deutschland.
H KöhlerInnovation Center Computer Assisted Surgery (ICCAS), Universität Leipzig, Leipzig, Deutschland.
T NeumuthInnovation Center Computer Assisted Surgery (ICCAS), Universität Leipzig, Leipzig, Deutschland.
A MelzerInnovation Center Computer Assisted Surgery (ICCAS), Universität Leipzig, Leipzig, Deutschland.
C ChalopinInnovation Center Computer Assisted Surgery (ICCAS), Universität Leipzig, Leipzig, Deutschland.
I GockelKlinik für Viszeral‑, Transplantations‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Leipzig AöR, Liebigstr. 20, 04103, Leipzig, Deutschland. ines.gockel@medizin.uni-leipzig.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnastomotic insufficiency (AI) remains the most feared surgical complication in gastrointestinal surgery, which is closely associated with a prolonged inpatient hospital stay and significant postoperative mortality. Hyperspectral imaging (HSI) is a relatively new medical imaging procedure which has proven to be promising in tissue identification as well as in the analysis of tissue oxygenation and water content. Until now, no data exist on the in vivo HSI analysis of gastrointestinal anastomoses.

methodsIntraoperative images were obtained using the TIVITA™ tissue system HSI camera from Diaspective Vision GmbH (Pepelow, Germany). In 47 patients who underwent gastrointestinal surgery with esophageal, gastric, pancreatic, small bowel or colorectal anastomoses, 97 assessable recordings were generated. Parameters obtained at the sites of the anastomoses included tissue oxygenation (StO

resultsObtaining and analyzing the intraoperative images with this non-invasive imaging system proved practicable and delivered good results on a consistent basis. A NIR gradient along and across the anastomosis was observed and, furthermore, analysis of the tissue water and oxygenation content showed specific changes at the site of anastomosis.

conclusionThe HSI method provides a non-contact, non-invasive, intraoperative imaging procedure without the use of a contrast medium, which enables a real-time analysis of physiological anastomotic parameters, which may contribute to determine the "ideal" anastomotic region. In light of this, the establishment of this methodology in the field of visceral surgery, enabling the generation of normal or cut off values for different gastrointestinal anastomotic types, is an obvious necessity.

Indexed as

Anastomosis, SurgicalAnastomotic LeakDigestive System Surgical ProceduresGastrointestinal TractGermanyHumansStomachAnastomotic insufficiencyGastrointestinal tractIntraoperative hyperspectral imagingNon-invasive assessmentPhysiologic tissue parameters

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.