Evidence map›Paper›PMID 34720827›Full record

ArticleCase reports in gastroenterology

Nasopancreatic Drainage for 4 Patients during the Early Phase of Acute Pancreatitis.

Morihisa Hirota, Akinobu Koiwai, Atsuko Takasu, Keita Kawamura, Ryo Kin, Katsuya Endo, Takayuki Kogure, Takayoshi Meguro, Kennichi Satoh

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Case reports in gastroenterology. 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
0.2field-weighted citation impact, top 45% 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

0 citing papers in PubMed, 1 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

9 authors at 1 institution in 1 country.

Morihisa HirotaDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Akinobu KoiwaiDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Atsuko TakasuDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Keita KawamuraDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Ryo KinDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Katsuya EndoDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Takayuki KogureDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Takayoshi MeguroDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Kennichi SatohDivision of Gastroenterology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Tohoku Medical and Pharmaceutical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We encountered 4 patients with acute pancreatitis (AP) of various etiologies and coexisting acute cholangitis who underwent endoscopic biliary stenting (EBS) and nasopancreatic drainage (NPD) via endoscopic retrograde cholangiopancreatography (ERCP) during the early phase of AP. ERCP is performed to treat acute cholangitis even in the context of AP. However, in difficult cases, accidental contrast media injection or guidewire insertion into the pancreatic duct can happen during ERCP for the purpose of EBS. It is concerned that cannulation injury and increased pancreatic duct pressure can exacerbate existing AP. Because pancreatic guidewire-associated techniques were required for all of them due to difficult biliary cannulation, we performed a NPD catheter placement using the pancreatic guidewire to decompress the pancreatic duct to prevent further exacerbating AP. Surprisingly, all patients dramatically improved without systemic or local complications. NPD could be performed without any adverse events and did not worsen the course of AP. Early decompression of a pancreatic duct using NPD may rather improve AP that had already developed. Further prospective research is needed to confirm our observations.

Indexed as

Acute pancreatitisEndoscopic retrograde cholangiopancreatographyEndoscopic treatment

Identifiers

PMID34720827
PMCPMC8543317
OpenAlexW3199061289

What OpenQuestion holds

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LicenceCC BY-NC
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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.