Evidence map›Paper›PMID 33269058›Full record

ArticleWorld journal of gastrointestinal endoscopy2020

Preemptive endoluminal vacuum therapy after pancreaticoduodenectomy: A case report.

Flaubert Sena de Medeiros, Epifanio Silvino do Monte Junior, Romero de Lima França, Heli Clóvis de Medeiros Neto, Juliany Medeiros Santos, Eligio Alves Almeida Júnior, Samuel Oliveira da Silva Júnior, Mario Herman Santos Moura Pedreira Tavares, Eduardo Guimarães Hourneaux de Moura

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

Article in World journal of gastrointestinal endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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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

9 authors at 6 institutions in 2 countries.

Flaubert Sena de MedeirosDepartment of Surgery, Federal University of Rio Grande do Norte, Natal 59012-300, Rio Grande do Norte, Brazil.
Epifanio Silvino do Monte JuniorGastrointestinal Endoscopy Unit, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo 05403-000, Brazil. epifaniosmjr@gmail.com.
Romero de Lima FrançaDepartment of Surgery, Hospital do Coração, Natal 59075-050, Rio Grande do Norte, Brazil.
Heli Clóvis de Medeiros NetoDepartment of Surgery, Federal University of Rio Grande do Norte, Natal 59012-300, Rio Grande do Norte, Brazil.
Juliany Medeiros SantosGastrointestinal Endoscopy Unit, Faculty of Medicine of ABC, São Paulo 09190-615, Brazil.
Eligio Alves Almeida JúniorDepartment of Surgery, Instituto Juarez Almeida, Bacabal 65700-000, Maranhão, Brazil.
Samuel Oliveira da Silva JúniorDepartment of Surgery, Hospital Naval Marcílio Dias, Rio de Janeiro 20725-090, Rio de Janeiro, Brazil.
Mario Herman Santos Moura Pedreira TavaresDepartment of Surgery, Federal University of Rio Grande do Norte, Natal 59012-300, Rio Grande do Norte, Brazil.
Eduardo Guimarães Hourneaux de MouraGastrointestinal Endoscopy Unit, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo 05403-000, Brazil.
Universidade Federal do Rio Grande do Norte · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRAmerican Society for Gastrointestinal Endoscopy · USBrazilian Naval School · BRHospital do Coração · BRInstituto Federal do Maranhão · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreaticoduodenectomy is a technically demanding operation, with reported morbidity rates of approximately 40%-50%. A novel idea is to use endoscopic vacuum therapy (EVT) in a preemptive setting to prevent anastomotic leakage and pancreatic fistulas. In a recent case series, EVT was proven to be effective in preventing leaks in patients with anastomotic ischemia. There have been no previous reports on preemptive EVT after pancreaticoduodenectomy. CASE SUMMARY: We describe the case of a 71-year-old woman with hypertension and diabetes who was admitted to the emergency room with jaundice, choluria, fecal acholia, abdominal pain, and fever. Admission examinations revealed leukocytosis and hyperbilirubinemia (total: 13 mg/dL; conjugated: 12.1 mg/dL). Abdominal ultrasound showed cholelithiasis and dilation of the common bile duct. Magnetic resonance imaging demonstrated a stenotic area, and a biopsy confirmed cholangiocarcinoma. Considering the high risk of leaks after pancreatico-duodenectomy, preemptive endoluminal vacuum therapy was performed. The system comprised a nasogastric tube, gauze, and an antimicrobial incise drape. The negative pressure was 125 mmHg, and no adverse events occurred. The patient was discharged on postoperative day 5 without any symptoms.

conclusionPreemptive endoluminal vacuum therapy may be a safe and feasible technique to reduce leaks after pancreaticoduodenectomy.

Indexed as

Case reportEndoluminalPancreaticoduodenectomyPreemptiveVacuum

Identifiers

PMID33269058
PMCPMC7677886
OpenAlexW3099620891

What OpenQuestion holds

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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.