Evidence map›Paper›PMID 32817800›Full record

ArticleAcute medicine & surgery

Intraoperative angiography with indocyanine green injection for precise localization and resection of small bowel bleeding.

Jun Kawachi, Hidemitsu Ogino, Rai Shimoyama, Chikamasa Ichita, Naoko Isogai, Takaaki Murata, Katsunori Miyake, Tomoki Nishida, Ryuta Fukai, Hiroyuki Kashiwagi

Open access · goldAbstract read
In one paragraph

Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
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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 at 2 institutions in 1 country.

Jun KawachiDepartment of Surgery Shonan Kamakura General Hospital Kamakura Japan.ORCID https://orcid.org/0000-0001-6906-7949
Hidemitsu OginoDepartment of Surgery Narita Tomisato Tokushukai Hospital Tomisato Japan.
Rai ShimoyamaDepartment of Surgery Shonan Kamakura General Hospital Kamakura Japan.ORCID https://orcid.org/0000-0001-8601-0442
Chikamasa IchitaGastroenterology Center Shonan Kamakura General Hospital Kamakura Japan.ORCID https://orcid.org/0000-0001-9210-7371
Naoko IsogaiDepartment of Surgery Shonan Kamakura General Hospital Kamakura Japan.ORCID https://orcid.org/0000-0003-3332-2527
Takaaki MurataDepartment of Surgery Shonan Kamakura General Hospital Kamakura Japan.ORCID https://orcid.org/0000-0003-0053-7396
Katsunori MiyakeDepartment of Surgery Shonan Kamakura General Hospital Kamakura Japan.ORCID https://orcid.org/0000-0001-8356-9646
Tomoki NishidaDepartment of Surgery Shonan Kamakura General Hospital Kamakura Japan.ORCID https://orcid.org/0000-0003-1186-1693
Ryuta FukaiDepartment of Surgery Shonan Kamakura General Hospital Kamakura Japan.ORCID https://orcid.org/0000-0001-8483-7788
Hiroyuki KashiwagiDepartment of Surgery Shonan Kamakura General Hospital Kamakura Japan.
Shonan Kamakura General Hospital · JPTomita Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimBleeding in the small bowel rarely occurs, and its treatment is challenging. Surgery is sometimes required in unstable patients; however, intraoperative identification of the bleeding site is extremely difficult. Many methods have been reported, but no standard strategy has been established yet. Here, we aimed to assess the safety and feasibility of intraoperative angiography with indocyanine green staining to accurately identify small bowel bleeding sites.

methodsThis retrospective study analyzed contrast-enhanced computed tomography images of patients (

resultsSeven of the eight patients had positive angiographic findings and underwent bowel resection. The eighth patient had no abnormalities and hence did not undergo laparotomy. The rate of hemostatic success among the resected cases was 85.7% (six of seven cases). The resected specimens showed pathologic features in six of the seven patients (85.7%), all of whom achieved hemostasis. One patient had pneumonia and congestive heart failure that required longer hospital stay, but no mortality occurred.

conclusionsIntraoperative angiography with indocyanine green injection, followed by resection for massive small bowel bleeding is effective. This can be a therapeutic option for hemodynamically unstable patients.

Indexed as

Indocyanine greenintraoperative angiographysmall bowel bleeding

Identifiers

PMID32817800
PMCPMC7426192
OpenAlexW3049734515

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LicenceCC BY-NC
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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.