Evidence map›Paper›PMID 34916720›Full record

ArticleNagoya journal of medical science2021

<Editors' Choice> Long-term outcomes of the partial splenectomy for hypersplenism after portoenterostomy of patients with biliary atresia.

Takahisa Tainaka, Akinari Hinoki, Yujiro Tanaka, Chiyoe Shirota, Wataru Sumida, Kazuki Yokota, Satoshi Makita, Kazuo Oshima, Hizuru Amano, Aitaro Takimoto and 2 more

Open access · greenAbstract read
In one paragraph

Article in Nagoya journal of medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

12 authors at 1 institution in 1 country.

Takahisa TainakaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Akinari HinokiDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Yujiro TanakaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Chiyoe ShirotaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Wataru SumidaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Kazuki YokotaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Satoshi MakitaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Kazuo OshimaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hizuru AmanoDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Aitaro TakimotoDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Yoko KanoDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hiroo UchidaDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Nagoya University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Massive splenomegaly and hypersplenism in patients with biliary atresia after Kasai portoenterostomy were treated with partial splenic embolization or total splenectomy. We performed partial splenectomy to reduce the complications of partial splenic embolization and avoid overwhelming post-splenectomy infection. This study aimed to evaluate the long-term effects of partial splenectomy for hypersplenism on postoperative liver and spleen function in patients with biliary atresia. Among jaundice-free patients with biliary atresia who underwent Kasai portoenterostomy between January 1992 and December 2012, 15 underwent partial splenectomy for massive splenomegaly and hypersplenism at our institution. Changes in the laboratory data 10 years post partial splenectomy were retrospectively investigated, and these along with the latest data were measured. A total of four patients (27%) required living-donor liver transplantation after partial splenectomy, a proportion similar to those who did not undergo partial splenectomy. Compared to the preoperative baseline, the platelet counts were significantly higher at 1 and 3 years after surgery (

Indexed as

Liver TransplantationPortoenterostomy, HepaticAgedAged, 80 and overBiliary AtresiaFemaleHumansHypersplenismLiving DonorsMaleMiddle AgedRetrospective StudiesSplenectomySplenomegalyTreatment Outcomebiliary atresiahypersplenismpartial splenectomyportal hypertensionsplenomegaly

Identifiers

PMID34916720
PMCPMC8648531
OpenAlexW4200016327

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.