Evidence map›Paper›PMID 35242670›Full record

ArticleGland surgery2022

Impact of pylorus preservation on delayed gastric emptying after pancreaticoduodenectomy-analysis of 5,000 patients based on the German StuDoQ|Pancreas-Registry.

Tim Fahlbusch, Andreas Minh Luu, Philipp Höhn, Carsten Klinger, Jens Werner, Tobias Keck, Helmut Friess, Jörg Köninger, Thomas Kraus, Guido Alsfasser and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Gland surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.5field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 24 citations in OpenAlex.

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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

14 authors at 10 institutions in 1 country.

Tim FahlbuschSt. Josef Hospital, Department of General and Visceral Surgery, Ruhr-University Bochum, Germany.
Andreas Minh LuuSt. Josef Hospital, Department of General and Visceral Surgery, Ruhr-University Bochum, Germany.
Philipp HöhnSt. Josef Hospital, Department of General and Visceral Surgery, Ruhr-University Bochum, Germany.
Carsten KlingerDeutsche Gesellschaft für Allgemein- und Viszeralchirurgie, Berlin, Germany.
Jens WernerDepartment of General, Visceral, and Transplant Surgery, University Hospital Munich, LMU, Munich, Germany.
Tobias KeckDepartment of Surgery, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Helmut FriessKlinik und Poliklinik für Chirurgie, Klinikum rechts der Isar, TUM München, Germany.
Jörg KöningerKlinik für Allgemein-, Viszeral-, Thorax- und Transplantationschirurgie, Katharinenhospital, Stuttgart, Germany.
Thomas KrausAllgemein-, Viszeral- und Minimalinvasive Chirurgie, Nordwestkrankenhaus Frankfurt, Frankfurt am Main, Germany.
Guido AlsfasserAbteilung für Allgemein-, Viszeral-, Gefäß- und Transplantationschirurgie, Universitätsmedizin Rostock, Rostock, Germany.
Winfried PadbergAllgemein-, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Gießen Marburg, Standort Gießen, Gießen, Germany.
Jörg Peter RitzKlinik für Allgemein- und Viszeralchirurgie, Helios Kliniken Schwerin, Schwerin, Germany.
Waldemar UhlSt. Josef Hospital, Department of General and Visceral Surgery, Ruhr-University Bochum, Germany.
Orlin BelyaevSt. Josef Hospital, Department of General and Visceral Surgery, Ruhr-University Bochum, Germany.
St. Josef-Hospital · DERuhr University Bochum · DEDeutsche Gesellschaft für Gefäßchirurgie und Gefäßmedizin · DEKatharinenhospital · DEKlinikum rechts der Isar · DEKrankenhaus Nordwest · DELMU Klinikum · DEUniversitätsklinikum Gießen und Marburg · DEUniversitätsmedizin Rostock · DEUniversity Hospital Schleswig-Holstein · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelayed gastric emptying (DGE) is one of the most common complications after pancreatic head resection. It leads to increased length of hospital stay, high costs for healthcare systems and reduced quality of life. The primary aim of the study was to assess the impact of pylorus preservation, respectively resection on the occurrence of DGE in patients undergoing pancreaticoduodenectomy (PD).

methodsAll cases of pylorus-resecting PD (PRPD) and pylorus-preserving PD (PPPD) entered in the StuDoQ|Pancreas nationwide registry of the German Society of General and Visceral Surgery from 01/01/2014 until 31/12/2018 including demographics, surgical techniques, histopathological and perioperative data were retrospectively analyzed. This study was approved by the ethics committee of the Ruhr-University Bochum, Germany.

resultsData of 5,080 patients were enrolled. PPPD was the method of choice (70.4%). Pylorus preservation had no impact on the occurrence of DGE (20.3%

conclusionsPatient factors, intraoperative factors, duration of surgery and postoperative factors (postoperative pancreatic fistula, biliary leakage and other surgical complications) were identified as risk factors for DGE. Future research should focus on register-based, prospective, randomised-controlled studies such as the currently recruiting "PyloResPres trial".

Indexed as

delayed gastric emptying (DGE)PancreasPancreatic head resectionpylorus preservationregistryStuDoQ

Identifiers

PMID35242670
PMCPMC8825530
OpenAlexW4205609511

What OpenQuestion holds

Textmetadata
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.