Evidence map›Paper›PMID 31171894›Full record

Observational studyWorld journal of gastroenterology2019

Effect of Blumgart anastomosis in reducing the incidence rate of pancreatic fistula after pancreatoduodenectomy.

Ya-Tong Li, Han-Yu Zhang, Cheng Xing, Cheng Ding, Wen-Ming Wu, Quan Liao, Tai-Ping Zhang, Yu-Pei Zhao, Meng-Hua Dai

Open access · hybridAbstract readComparative StudyObservational Study
In one paragraph

Observational study in World journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. [Clinical Practice and Quality Control Strategies for Complex Minimally Invasive Pancreatic Surgery].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Effect of Modified Blumgart Anastomosis on Surgical Outcomes After Pancreaticoduodenectomy.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. 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

9 authors at 2 institutions in 1 country.

Ya-Tong LiDepartment of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Han-Yu ZhangDepartment of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Cheng XingDepartment of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Cheng DingDepartment of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Wen-Ming WuDepartment of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Quan LiaoDepartment of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Tai-Ping ZhangDepartment of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Yu-Pei ZhaoDepartment of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Meng-Hua DaiDepartment of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China. daimh@pumch.cn.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNPeking Union Medical College Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic fistula is one of the most serious complications after pancreatoduodenectomy for treating any lesions at the pancreatic head. For years, surgeons have tried various methods to reduce its incidence.

aimTo investigate and emphasize the clinical outcomes of Blumgart anastomosis compared with traditional anastomosis in reducing postoperative pancreatic fistula.

methodsIn this observational study, a retrospective analysis of 291 patients who underwent pancreatoduodenectomy, including Blumgart anastomosis (201 patients) and traditional embedded pancreaticojejunostomy (90 patients), was performed in our hospital. The preoperative and perioperative courses and long-term follow-up status were analyzed to compare the advantages and disadvantages of the two methods. Moreover, 291 patients were then separated by the severity of postoperative pancreatic fistula, and two methods of pancreaticojejunostomy were compared to detect the features of different anastomosis. Six experienced surgeons were involved and all of them were proficient in both surgical techniques.

resultsThe characteristics of the patients in the two groups showed no significant differences, nor the preoperative information and pathological diagnoses. The operative time was significantly shorter in the Blumgart group (343.5 ± 23.0

conclusionSurgical method should be a key factor in reducing pancreatic fistula, and Blumgart anastomosis needs further promotion.

Indexed as

FemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedPancreasPancreatic FistulaPancreatic NeoplasmsPancreaticoduodenectomyPancreaticojejunostomyPostoperative ComplicationsRetrospective StudiesTreatment OutcomeBlumgart anastomosisIncidencePancreaticojejunostomyPancreatoduodenectomyPostoperative pancreatic fistula

Identifiers

PMID31171894
PMCPMC6543243
OpenAlexW2946858072

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.