Evidence map›Paper›PMID 36369409›Full record

ArticleSurgical endoscopy2023

Efficacy and safety of endoscopic ultrasound guided drainage of pseudocysts and walled-off necrosis after failure of percutaneous drainage.

Sahar Mack, Domenico Galasso, Mariola Marx, Maxime Robert, Elodie Romailler, Sarra Hadjer Oumrani, Nurullah Aslan, Eleni Moschouri, Alain Schoepfer, Sébastien Godat

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 35% 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, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  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

10 authors at 2 institutions in 1 country.

Sahar MackDivision of Gastroenterology and Hepatology, Department of Medical Specialties, University Hospital of Lausanne, CHUV, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland.
Domenico GalassoDivision of Gastroenterology, Hôpital Riviera Chablais, HRC, Rennaz, Switzerland.
Mariola MarxDivision of Gastroenterology and Hepatology, Department of Medical Specialties, University Hospital of Lausanne, CHUV, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland.
Maxime RobertDivision of Gastroenterology and Hepatology, Department of Medical Specialties, University Hospital of Lausanne, CHUV, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland.
Elodie RomaillerDivision of Gastroenterology and Hepatology, Department of Medical Specialties, University Hospital of Lausanne, CHUV, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland.
Sarra Hadjer OumraniDivision of Gastroenterology and Hepatology, Department of Medical Specialties, University Hospital of Lausanne, CHUV, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland.
Nurullah AslanDivision of Gastroenterology and Hepatology, Department of Medical Specialties, University Hospital of Lausanne, CHUV, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland.
Eleni MoschouriDivision of Gastroenterology and Hepatology, Department of Medical Specialties, University Hospital of Lausanne, CHUV, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland.
Alain SchoepferDivision of Gastroenterology and Hepatology, Department of Medical Specialties, University Hospital of Lausanne, CHUV, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland.
Sébastien GodatDivision of Gastroenterology and Hepatology, Department of Medical Specialties, University Hospital of Lausanne, CHUV, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland. sebastien.godat@chuv.ch.
University Hospital of Lausanne · CHHôpital Riviera-Chablais · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic Ultrasound (EUS) represents the gold standard for initial drainage of pancreatic fluid collections (PFC) due to various etiologies. However, data concerning salvage EUS drainage after initial percutaneous drainage are limited. The purpose of our study was to evaluate the clinical outcomes and safety of EUS-guided drainage of pancreatic collections after failure of percutaneous drainage.

methodsThis retrospective study was conducted in a single, tertiary university center from August 2013 to January 2020. Indication was pancreatic collection after acute pancreatitis with PFC requiring EUS-guided drainage after failure of percutaneous drainage.

resultsTwenty-two patients with PFC after acute pancreatitis were included (mean age 64.1 ± 11.3 years) of which 4/22 (18.2%) had pancreatic pseudocyst and 18/22 (81.8%) presented with a walled-off necrosis. Seventy-six interventions were performed among the 22 patients. Lumen-Apposing Metal Stent (LAMS) were used in 5/22 (22.7%) and double pigtail plastic stents in 17/22 (77.3%) of interventions with a median number intervention of 3 per patient (range 1 to 7). Technical success rate was 98.7% (75/76) with an overall clinical success of 81.8% (18/22). Procedure related adverse events rate was 9.1% (2/22) including one bleeding and one pancreatic fistula. Two non-procedure related deaths were observed.

conclusionEUS-guided pancreatic collection drainage is clinically effective and safe after clinical/technical failure of radiological percutaneous management.

Indexed as

Pancreatic PseudocystPancreatitisAcute DiseaseAgedDrainageHumansMiddle AgedNecrosisRetrospective StudiesTreatment OutcomeUltrasonography, InterventionalEndoscopic ultrasoundEndoscopic ultrasound guided drainagePancreatic collectionsPercutaneous drainagePseudocystWalled of necrosis

Identifiers

PMID36369409
OpenAlexW4308792403

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.