Evidence map›Paper›PMID 33312256›Full record

ArticleMaedica2020

A Review on Aorta Mesenteric Bypass in Surgical Management of Mesenteric Ischemia: Indications, Techniques and Outcomes.

Danilo Coco, Silvana Leanza

Open access · hybridAbstract readEditorial
In one paragraph

Article in Maedica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 29% 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, 4 citations in OpenAlex.

  1. Article
  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

2 authors at 1 institution in 1 country.

Danilo CocoDepartment of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy.
Silvana LeanzaDepartment of General Surgery, Carlo Urbani Hospital, Jesi, Ancona, Italy.
Ospedali Riuniti Marche Nord · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mesenteric ischemia (MI) is a rare medical condition which involves insufficient blood supply, inflammatory injury and eventually bowel wall necrosis with high mortality rates. Acute mesenteric ischemia (AMI) and chronic mesenteric ischemia (CMI) are the two major types of mesenteric ischemia. Therapeutic approach of MI includes medical as well as surgical treatment. This review article aims to delineate the abreast knowledge on indications, management through mesenteric bypass surgical technique, and clinical outcomes. Clinical presentation of AMI and CMI varies substantially, depending on the etiology underlying it. The most common symptom of AMI is abdominal pain that is disproportionate to the outcomes of physical exams; whereas CMI normally induces postprandial abdominal pain, commonly epigastric or periumbilical, nausea and weight loss. Recent awareness of AMI management revealed that exploratory laparotomy surgical procedure with careful evaluation of bowel viability played a pivotal role in restoring intestinal oxygenation and avoiding serious complications such as peritonitis and perforation of the gangrene bowels. The management of CMI is mainly surgical, with Aorta/Iliac-SMA bypass and Aorta-Splenic bypass being the currently available options. Due to the high thrombosis levels, only patients whose surgical risk outweighs possible benefits are required for medical care as a single treatment. Furthermore, this review also postulates that aorto mesenteric revascularization procedures for chronic mesenteric ischemia are feasible, but involve careful selection of patients, and they should only be performed by vascular surgeons with extensive experience in laparoscopic vascular surgery at referral centers.

Identifiers

PMID33312256
PMCPMC7726511
OpenAlexW3114372347

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.