Evidence map›Paper›PMID 32221010›Full record

ArticleBMJ case reports2020

Walled-off pancreatic necrosis: a staged multidisciplinary step-up approach.

Débora Sousa, Ana Carolina Freitas Ferreira, Pedro Raimundo, Rui Maio

Open access · bronzeAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. Review
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

4 authors at 2 institutions in 1 country.

Débora SousaDepartment of Internal Medicine, Hospital da Luz Lisboa, Lisboa, Portugal dsofia.sousa@gmail.com.ORCID http://orcid.org/0000-0003-0995-8146
Ana Carolina Freitas FerreiraDepartment of Internal Medicine, Hospital do Divino Espírito Santo de Ponta Delgada EPE, Ponta Delgada, Ilha de São Miguel, Portugal.ORCID http://orcid.org/0000-0002-6717-8407
Pedro RaimundoDepartment of Internal Medicine, Hospital da Luz Lisboa, Lisboa, Portugal.
Rui MaioDepartment of Surgery, Hospital da Luz Lisboa, Lisboa, Lisboa, Portugal.
Hospital da Luz · PTHospital do Divino Espírito Santo · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Walled-off pancreatic necrosis (WOPN) is a rare complication of pancreatitis. We present the case of a woman in her eighties admitted for diffuse abdominal pain. She had a palpable abdominal mass and the CT scan showed necrosis throughout the tail of the pancreas, a peripancreatic and retrogastric hydroaerial collection (19 cm of diameter) and a calculus in the main biliary duct, thus establishing a diagnosis of emphysematous necrotising obstructive pancreatitis. A step-up approach was decided, first with removal of the biliary calculus, followed by a waiting period of 4 weeks in which the patient was under intravenous antibiotics. At re-evaluation, the CT scan showed a smaller and more organised collection, bounded by a wall, defining WOPN. At this stage, transgastric drainage via echoendoscopy was attempted, without success, followed by percutaneous CT-guided drainage, also with little effect. Surgical necrosectomy was then executed, as a final step, with a successful outcome.

Indexed as

Aged, 80 and overAnti-Bacterial AgentsCombined Modality TherapyDiagnosis, DifferentialFemaleHumansPancreatitis, Acute NecrotizingPiperacillin, Tazobactam Drug CombinationAnti-Bacterial AgentsPiperacillin, Tazobactam Drug Combinationgastrointestinal surgeryhepatitis and other GI infectionspancreas and biliary tractpancreatitis

Identifiers

PMID32221010
PMCPMC7167482
OpenAlexW3013068204

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.