Evidence map›Paper›PMID 34845122›Full record

ArticleAnnals of hepato-biliary-pancreatic surgery2021

Management of infected post-pancreatic resection fluid collections under endoscopic ultrasound guidance using lumen apposing metal stent: A case series and review of the literature.

Puneet Chhabra, Ben Maher, Dharmadev Trivedi, Dimitrios Karavias, Ali Arshad, Mark Wright, Nadeem Tehami

Open access · diamondAbstract read
In one paragraph

Article in Annals of hepato-biliary-pancreatic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 1 institution in 1 country.

Puneet ChhabraDepartment of Gastroenterology, Southampton General Hospital, Southampton, United Kingdom.ORCID https://orcid.org/0000-0002-1708-0196
Ben MaherDepartment of Interventional Radiology, Southampton General Hospital, Southampton, United Kingdom.ORCID https://orcid.org/0000-0003-4049-7229
Dharmadev TrivediDepartment of Hepatobiliary and Pancreatic Surgery, Southampton General Hospital, Southampton, United Kingdom.ORCID https://orcid.org/0000-0003-4652-4574
Dimitrios KaraviasDepartment of Hepatobiliary and Pancreatic Surgery, Southampton General Hospital, Southampton, United Kingdom.ORCID https://orcid.org/0000-0002-7357-9637
Ali ArshadDepartment of Hepatobiliary and Pancreatic Surgery, Southampton General Hospital, Southampton, United Kingdom.ORCID https://orcid.org/0000-0001-6596-7835
Mark WrightDepartment of Gastroenterology, Southampton General Hospital, Southampton, United Kingdom.ORCID https://orcid.org/0000-0001-7046-241X
Nadeem TehamiDepartment of Gastroenterology, Southampton General Hospital, Southampton, United Kingdom.ORCID https://orcid.org/0000-0003-3042-6574
Southampton General Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDS/

aimsPost-operative pancreatic fistulas (POPF) and fluid collections (POPFC) remain significant sources of morbidity and mortality after pancreatic resections. There remains a paucity of literature describing endoscopic ultrasound (EUS) guided drainage of POPFC using a Hot AXIOS™ lumen apposing metal stent (LAMS).

methodsWe conducted a retrospective study, encompassing all consecutive patients with POPFC managed using Hot AXIOS™ LAMS at our institution between January 2017 and December 2019. Primary outcome measures were technical and clinical success. Secondary outcome measures were adverse events and recurrence rates.

resultsFive patients underwent EUS guided drainage using Hot AXIOS™ LAMS during the study period. Mean age of patients was 67.8 ± 2.16 years. The majority (60.0%) of patients were males. Median duration of symptom onset after surgery was 9 days. All patients presented with abdominal pain. Median size of the collection measured on computed tomography was 91 mm. Median interval time between symptom onset and EUS drainage was 30 days. Two patients required percutaneous drainage prior to EUS guided drainage. Technical and clinical success were achieved for all patients. No adverse events were observed. Median duration of follow-up was 90 days. No recurrence of collection occurred during the follow-up period.

conclusionsEUS guided drainage of POPFC using Hot AXIOS™ LAMS is a safe and effective treatment modality with technical and clinical success rates of 100% in our experience.

Indexed as

EndosonographyPancreatic fistula

Identifiers

PMID34845122
PMCPMC8639308
OpenAlexW3216357098

What OpenQuestion holds

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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.