Evidence map›Paper›PMID 31559288›Full record

ArticleWorld journal of clinical cases2019

Impact of continuous local lavage on pancreatic juice-related postoperative complications: Three case reports.

Tomohide Hori, Kohei Ogawa, Hidekazu Yamamoto, Hideki Harada, Kazuyoshi Matsumura, Michihiro Yamamoto, Masahiro Yamada, Takefumi Yazawa, Katsutoshi Kuriyama, Masaki Tani and 9 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in World journal of clinical cases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

19 authors at 3 institutions in 1 country.

Tomohide HoriDepartment of Surgery, Shiga General Hospital, Moriyama 524-8524, Japan. horitomo55office@yahoo.co.jp.
Kohei OgawaDepartment of Hepatobiliary Pancreatic and Breast Surgery, Ehime University, Toon 791-0295, Japan.
Hidekazu YamamotoDepartment of Surgery, Shiga General Hospital, Moriyama 524-8524, Japan.
Hideki HaradaDepartment of Surgery, Shiga General Hospital, Moriyama 524-8524, Japan.
Kazuyoshi MatsumuraDepartment of Gastroenterology and Hepatology, Shiga General Hospital, Moriyama 524-8524, Japan.
Michihiro YamamotoDepartment of Surgery, Shiga General Hospital, Moriyama 524-8524, Japan.
Masahiro YamadaDepartment of Surgery, Shiga General Hospital, Moriyama 524-8524, Japan.
Takefumi YazawaDepartment of Surgery, Shiga General Hospital, Moriyama 524-8524, Japan.
Katsutoshi KuriyamaDepartment of Gastroenterology and Hepatology, Shiga General Hospital, Moriyama 524-8524, Japan.
Masaki TaniDepartment of Surgery, Shiga General Hospital, Moriyama 524-8524, Japan.
Daiki YasukawaDepartment of Surgery, Shiga University of Medical Science, Otsu 520-2192, Japan.
Yasuyuki KamadaDepartment of Surgery, Shiga General Hospital, Moriyama 524-8524, Japan.
Yuki AisuDepartment of Surgery, Kyoto University Graduate School of Medicine, Kyoto 606-8507, Japan.
Ryotaro TaniDepartment of Surgery, Shiga General Hospital, Moriyama 524-8524, Japan.
Ryuhei AoyamaDepartment of Surgery, Shiga General Hospital, Moriyama 524-8524, Japan.
Shinnosuke NakayamaDepartment of Gastroenterology and Hepatology, Shiga General Hospital, Moriyama 524-8524, Japan.
Yudai SasakiDepartment of Surgery, Shiga General Hospital, Moriyama 524-8524, Japan.
Koki NishimotoDepartment of Gastroenterology and Hepatology, Shiga General Hospital, Moriyama 524-8524, Japan.
Masazumi ZaimaDepartment of Surgery, Shiga General Hospital, Moriyama 524-8524, Japan.
Shiga Medical Center · JPKyoto University · JPShiga University of Medical Science · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative pancreatic leakage readily results in intractable pancreatic fistula and subsequent intraperitoneal abscess. This refractory complication can be fatal; therefore, intensive treatment is important. Continuous local lavage (CLL) has recently been reevaluated as effective treatment for severe infected pancreatitis, and we report three patients with postoperative intractable pancreatic fistula successfully treated by CLL. We also discuss our institutional protocol for CLL for postoperative pancreatic fistula. CASE SUMMARY: The first patient underwent subtotal stomach-preserving pancreaticoduodenectomy, and pancreatic leakage was observed postoperatively. Intractable pancreatic fistula led to intraperitoneal abscess, and CLL near the pancreaticojejunostomy site was instituted from postoperative day (POD) 8. The abscess resolved after 7 d of CLL. The second patient underwent distal pancreatectomy. Pancreatic leakage was observed, and intractable pancreatic fistula led to intraperitoneal abscess near the pancreatic stump. CLL was instituted from POD 9, and the abscess resolved after 4 d of CLL. The third patient underwent aneurysmectomy and splenectomy with wide exposure of the pancreatic parenchyma. Endoscopic retrograde pancreatic drainage was performed on POD 15 to treat pancreatic fistula; however, intraperitoneal abscess was detected on POD 59. We performed CLL endoscopically

conclusionCLL has therapeutic potential for postoperative pancreatic fistula.

Indexed as

Case reportPancreasPancreatic fistulaPancreatic juicePostoperative complicationsSurgery

Identifiers

PMID31559288
PMCPMC6745316
OpenAlexW2971931963

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Registered trials

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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.