Evidence map›Paper›PMID 35241043›Full record

ReviewBMC oral health2022

Oral adverse events due to zinc deficiency after pancreaticoduodenectomy requiring continuous intravenous zinc supplementation: a case report and literature review.

Hironobu Hata, Yojiro Ota, Katsuhiko Uesaka, Yutaka Yamazaki, Tsubasa Murata, Chika Murai, Kazuhito Yoshikawa, Kenji Imamachi, Takashi Yurikusa, Yoshimasa Kitagawa

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in BMC oral health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 43% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Micronutrient deficiencies after pancreatico-duodenectomy: A narrative review of the literature and recommendations for clinical practice.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Review
  2. Prospective Observational Study on Perioperative Dysgeusia and Trace Metal Elements in Patients Undergoing Pancreatoduodenectomy.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Article
  3. Article
  4. 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

10 authors at 4 institutions in 1 country.

Hironobu HataDivision of Dentistry and Oral Surgery, Shizuoka Cancer Center Hospital, Shizuoka, Japan. hatabooh@gmail.com.ORCID 0000-0002-0077-7026
Yojiro OtaDivision of Dentistry and Oral Surgery, Shizuoka Cancer Center Hospital, Shizuoka, Japan.
Katsuhiko UesakaDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer Center Hospital, Shizuoka, Japan.ORCID 0000-0002-9983-1730
Yutaka YamazakiGerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Sapporo, Japan.
Tsubasa MurataDepartment of Dental and Oral Surgery, Tomakomai City Hospital, Tomakomai, Japan.
Chika MuraiFaculty of Dental Medicine, Oral Diagnosis and Medicine, Hokkaido University, Sapporo, Japan.
Kazuhito YoshikawaFaculty of Dental Medicine, Oral Diagnosis and Medicine, Hokkaido University, Sapporo, Japan.
Kenji ImamachiDepartment of Dentistry and Oral Surgery, National Hospital Organization Hokkaido Cancer Center Hospital, Sapporo, Japan.ORCID 0000-0003-1090-3660
Takashi YurikusaDivision of Dentistry and Oral Surgery, Shizuoka Cancer Center Hospital, Shizuoka, Japan.
Yoshimasa KitagawaFaculty of Dental Medicine, Oral Diagnosis and Medicine, Hokkaido University, Sapporo, Japan.
Hokkaido University · JPShizuoka Cancer Center · JPNational Hospital Organization Hokkaido Medical Center · JPNational Institute of Technology, Tomakomai College · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundZinc is mainly absorbed in the duodenum and proximal jejunum, which are removed during pancreaticoduodenectomy (PD). Little is known about the adverse oral events and skin disorders caused by zinc deficiency after PD. Herein, we reviewed studies on the development of zinc deficiency after PD and reported about a patient with zinc deficiency after PD who required home intravenous zinc replacement. CASE PRESENTATION: A 73-year-old woman with glossitis, taste disorder, and acrodermatitis enteropathica-like eruption on her fingers presented to the Division of Dentistry and Oral Surgery 69 days after PD. Her serum zinc level markedly decreased to 30 μg/dL. Oral zinc administration was inadequate to treat hypozincemia after PD; therefore, multi-trace elements were injected intravenously during readmission. Her serum zinc levels recovered, and her lesions gradually improved. Furthermore, a central venous port was implanted to maintain normal serum zinc levels, and she continued self-injecting zinc at home.

conclusionsZinc deficiency after PD rarely occurs. The clinical oncologist community, including dentists responsible for the oral care of cancer patients, should be aware of the oral adverse events, such as dysgeusia, glossitis, and oral pain, associated with zinc deficiency after cancer surgery and that induced by chemotherapy or head and neck radiation therapy.

Indexed as

AcrodermatitisPancreaticoduodenectomyAgedDietary SupplementsFemaleHumansZincZincCase reportDysgeusiaPancreaticoduodenectomyTotal parenteral nutritionZinc deficiency

Identifiers

PMID35241043
PMCPMC8895859
OpenAlexW4214879401

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.