Evidence map›Paper›PMID 33319151›Full record

ReviewAnnals of gastroenterological surgery2020

Postoperative pancreatic fistula after gastrectomy for gastric cancer.

Marie Washio, Keishi Yamashita, Masahiro Niihara, Kei Hosoda, Naoki Hiki

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Annals of gastroenterological surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05645198 (The Effect of Carboxymetyl Starch), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.7field-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.

NCT05645198 phase4unknown statusnot on this mapstarted 2022, after this paper: background citation

The Effect of Carboxymetyl Starch (Oozfix) on Preventing Postoperative Complication After Gastrectomy: Single-center, Non-inferiority, Open-label Randomized Trial

TypeinterventionalSponsorBucheon St. Mary's HospitalRan2022 to 2025Enrolled180ConditionsStomach NeoplasmArmsOozfix, Greenplast
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Marie WashioDepartment of Upper Gastrointestinal Surgery Kitasato University School of Medicine Sagamihara Japan.
Keishi YamashitaDepartment of Upper Gastrointestinal Surgery Kitasato University School of Medicine Sagamihara Japan.ORCID https://orcid.org/0000-0002-8492-0300
Masahiro NiiharaDepartment of Upper Gastrointestinal Surgery Kitasato University School of Medicine Sagamihara Japan.
Kei HosodaDepartment of Upper Gastrointestinal Surgery Kitasato University School of Medicine Sagamihara Japan.ORCID https://orcid.org/0000-0002-9787-2889
Naoki HikiDepartment of Upper Gastrointestinal Surgery Kitasato University School of Medicine Sagamihara Japan.ORCID https://orcid.org/0000-0002-6857-8736
Kitasato University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postoperative pancreatic fistula is one of the most severe complications after gastric cancer surgery, and can cause critical patient conditions leading to surgery-related death. Fortunately, the incidence of postoperative pancreatic fistula after gastrectomy seems to be decreasing with changes in operative procedures. The rate was reported at about 30% after open gastrectomy with Appleby's method in 1997, but lately has improved below 1% for robotic gastrectomy in 2019. For the diagnosis of postoperative pancreatic fistula, drain amylase concentration has been demonstrated to be beneficial and some reports have proposed the optimal cut-off values of drain amylase to predict major postoperative pancreatic fistula. There have been many reports identifying risk factors for postoperative pancreatic fistula, including overweight patients, pancreatic anatomy, blunt trauma from compression of the pancreas, and thermal injuries caused by the continuous use of energy devices. And importantly, laparoscopic gastrectomy has been shown to be more often associated with postoperative pancreatic fistula than open gastrectomy in the prospective national clinical database in Japan. Hence, further sophistication of surgical techniques to reduce pancreas compression would have great promise in reducing postoperative pancreatic fistula after laparoscopic gastrectomy.

Indexed as

gastrectomygastric cancerpancreatic fistula

Identifiers

PMID33319151
PMCPMC7726690
OpenAlexW3088593303

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.