Evidence map›Paper›PMID 34537854›Full record

ArticleLangenbeck's archives of surgery2022

Preoperative splenic artery embolism followed by splenectomy is safe and effective in patients with sinistral portal hypertension.

Zihe Wang, Mao Li, Xing Huang, Junjie Xiong, Bole Tian

Open access · hybridAbstract read
In one paragraph

Article in Langenbeck's archives of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. SplenectomyTherapeutic advances in gastroenterology · 2024
    Article
  5. Article
  6. 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

5 authors at 1 institution in 1 country.

Zihe WangPancreatology Department, West China Hospital, Sichuan University, Chengdu, China.
Mao LiPancreatology Department, West China Hospital, Sichuan University, Chengdu, China.
Xing HuangPancreatology Department, West China Hospital, Sichuan University, Chengdu, China.
Junjie XiongPancreatology Department, West China Hospital, Sichuan University, Chengdu, China. junjiex2011@126.com.
Bole TianPancreatology Department, West China Hospital, Sichuan University, Chengdu, China. hxtbl0338@126.com.ORCID http://orcid.org/0000-0002-2577-5131
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough preoperative splenic artery embolism (SAE) has been widely used for splenomegaly, the efficiency and safety of preoperative SAE in patients with sinistral portal hypertension (SPH) is unknown.

methodsWe designed a retrospective cohort of SPH patients who received preoperative SAE in our hospital (February 2018 to September 2020) and compared to those who received splenectomy only, in terms of intraoperative and postoperative outcomes.

resultsIn all, 59 patients (18 patients received preoperative SAE) were analyzed. The median age was 44.7 years. Preoperative SAE reduced the intraoperative blood loss (637.0 vs. 420.3 ml, P = 0.041) and operation time (174.0 vs. 141.5 min, P = 0.012). The incidence of complications including postoperative pancreatic fistula (POPF), bleeding, and thromboembolism was comparable. Multivariate analysis showed that SAE was a protective factor for intraoperative blood loss and operation time, while prior pancreatic pseudocyst/abscess was a risk factor.

conclusionsPreoperative SAE could reduce intraoperative blood loss and operation time in SPH patients without increasing the incidence of complications compared to splenectomy only.

Indexed as

EmbolismEmbolization, TherapeuticHypertension, PortalAdultHumansRetrospective StudiesSplenectomySplenic ArterySinistral portal hypertensionSplenectomySplenic artery embolism

Identifiers

PMID34537854
PMCPMC8847163
OpenAlexW3201490723

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.