Evidence map›Paper›PMID 33854992›Full record

ArticleAnnals of surgical treatment and research2021

Perforation on the superior side of duodenum is a risk factor of laparoscopic primary repair for duodenal ulcer perforation.

Hyun Il Kim, Yu Jeong Cho, Jong Hoon Yeom, Woo Jae Jeon, Min Gyu Kim

Open access · diamondAbstract read
In one paragraph

Article in Annals of surgical treatment and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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.

Hyun Il KimDepartment of Surgery, Hanyang University Guri Hospital, Hanyang University School of Medicine, Guri, Korea.ORCID https://orcid.org/0000-0002-2186-5842
Yu Jeong ChoDepartment of Surgery, Hanyang University Guri Hospital, Hanyang University School of Medicine, Guri, Korea.ORCID https://orcid.org/0000-0001-6823-2746
Jong Hoon YeomDepartment of Anesthesiology, Hanyang University Guri Hospital, Hanyang University School of Medicine, Guri, Korea.ORCID https://orcid.org/0000-0003-3159-2072
Woo Jae JeonDepartment of Anesthesiology, Hanyang University Guri Hospital, Hanyang University School of Medicine, Guri, Korea.ORCID https://orcid.org/0000-0002-9662-4197
Min Gyu KimDepartment of Surgery, Hanyang University Guri Hospital, Hanyang University School of Medicine, Guri, Korea.ORCID https://orcid.org/0000-0001-9943-0083
Hanyang University Guri Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrimary repair is the standard surgical method for treating duodenal ulcer perforations, with very good results usually anticipated because of the simplicity of the associated surgical techniques. Therefore, this study aimed to analyze the risk factors that affect laparoscopic primary repair outcomes for duodenal ulcer perforation.

methodsBetween June 2010 and June 2020, 124 patients who underwent laparoscopic primary repair for duodenal ulcer perforations were reviewed. Early surgical outcomes were evaluated and risk factors for postoperative complications were assessed.

resultsAll surgeries were performed laparoscopically without open conversion. Multivariate analysis showed that the elderly (over 70 years), and perforations that needed more than 2 stitches for closure were risk factors for overall postoperative complications. Perforations that needed more than 2 stitches and perforations on the superior side of the duodenum were major risk factors for severe postoperative complications. Severe postoperative complications occurred in 6 of the patients, and 1 of them died of multiorgan failure.

conclusionBased on our results, we suggest that laparoscopic primary repair can be safely performed in duodenal ulcer perforation. However, more careful surgery and postoperative care are needed to improve the surgical outcomes of patients who need more than 2 stitches to close their perforation or who have perforations on the superior side of the duodenum.

Indexed as

ComplicationsDuodenal ulcer perforationLaparoscopyPrimary repairRisk factors

Identifiers

PMID33854992
PMCPMC8019982
OpenAlexW3146157795

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.