Evidence map›Paper›PMID 33280257›Full record

ArticleJournal of hepato-biliary-pancreatic sciences2021

Current status and management of pancreatic trauma with main pancreatic duct injury: A multicenter nationwide survey in Japan.

Yasuhisa Ando, Keiichi Okano, Hiroshi Yasumatsu, Toshimasa Okada, Kimiyoshi Mizunuma, Minoru Takada, Shinjiro Kobayashi, Keisuke Suzuki, Nobuya Kitamura, Minoru Oshima and 3 more

Erratum issuedOpen access · hybridAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of hepato-biliary-pancreatic sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  12. Indications for the surgical management of pancreatic trauma: An update.World journal of gastrointestinal surgery · 2022
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 2 countries.

Yasuhisa AndoDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Japan.ORCID https://orcid.org/0000-0002-8686-2810
Keiichi OkanoDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Japan.
Hiroshi YasumatsuShock and Trauma Center/Hokusoh HEMS, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Japan.
Toshimasa OkadaDepartment of Digestive Surgery, Kawasaki Medical School, Kurashikishi-City, Japan.
Kimiyoshi MizunumaDepartment of Radiology, Nasu Red Cross Hospital, Otawara-City, Japan.
Minoru TakadaDepartment of Surgery, Teine Keijinkai Hospital, Sapporo-City, Japan.
Shinjiro KobayashiDivision of Gastroenterological and General Surgery, St. Marianna University School of Medicine, Kawasaki-City, Japan.
Keisuke SuzukiTrauma and Acute Critical Care Center, Tokyo Medical and Dental University Hospital of Medicine, Bunkyo-ku, Japan.
Nobuya KitamuraDepartment of Emergency and Critical Care Medicine, Kimitsu Chuo Hospital, Kisarazu-City, Japan.
Minoru OshimaDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Japan.
Hironobu SutoDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Japan.ORCID https://orcid.org/0000-0001-8476-3985
Miyatake NobuyukiDepartment of Hygiene, Kagawa University, Kita-gun, Japan.
Yasuyuki SuzukiDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Japan.
Kagawa University · JPChiba Hokusou Hospital · JPKawasaki Medical School · JPKisarazu Hospital · JPRed Cross Hospital · GRSt. Marianna University School of Medicine · JPTeine Keijinkai Hospital · JPTokyo Medical and Dental University Hospital · JP

Funding

Project study funds of Japanese Society for Abdominal Emergency Medicine 2016-P-02
6 · The paper itself

Abstract

backgroundPancreatic trauma is reportedly associated with high morbidity and mortality. Main pancreatic duct (MPD) injury is critical for treatment.

methodsAs a study project of the Japanese Society for Abdominal Emergency Medicine (JSAEM), we collected the data of 163 patients with pancreatic trauma who were diagnosed and treated at JSAEM board-certified hospitals from 2006 to 2016. Clinical backgrounds, diagnostic approaches, management strategies, and outcomes were evaluated.

resultsSixty-four patients (39%) were diagnosed as having pancreatic trauma with MPD injury that resulted in 3% mortality. Blunt trauma and isolated pancreatic injury were independent factors predicting MPD injury. Nine of 11 patients with MPD injury who were initially treated nonoperatively had serious clinical sequelae and five (45%) required surgery as a secondary treatment. Among all cases, the detectability of MPD injury of endoscopic retrograde pancreatography (ERP) was superior to that of other imaging modalities (CT or MRI), with higher sensitivity and specificity (sensitivity = 0.96; specificity = 1.0).

conclusionsAcceptable outcomes were observed in pancreatic trauma patients with MPD injury. Nonoperative management should be carefully selected for MPD injury. ERP is recommended to be performed in patients with suspected MPD injury and stable hemodynamics.

Indexed as

Abdominal InjuriesWounds, NonpenetratingCholangiopancreatography, Endoscopic RetrogradeHumansJapanPancreatic Ductsendoscopic retrograde pancreatographymain pancreatic duct injurymanagementnationwide surveypancreatic trauma

Identifiers

PMID33280257
PMCPMC7986433
OpenAlexW3112798854

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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.