Evidence map›Paper›PMID 37091687›Full record

ArticleOxford medical case reports2023

Ischemia-induced intestinal de-epithelization and consequent cholangitis lenta after usage of extracorporeal membrane oxygenation in COVID-19 patients: an autopsy series.

Sae Hatanaka, Yuki Yamada, Terufumi Kubo, Kazufumi Magara, Yusuke Ono, Shintaro Sugita, Tomohide Tsukahara, Daisuke Kyuno, Michiko Hosaka, Kenta Sasaki and 9 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Oxford medical case reports, 2023. 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
0.2field-weighted citation impact, top 51% 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 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

19 authors at 2 institutions in 1 country.

Sae HatanakaDepartment of Pathology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Yuki YamadaDepartment of Pathology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Terufumi KuboDepartment of Pathology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Kazufumi MagaraDepartment of Pathology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Yusuke OnoDepartment of Pathology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Shintaro SugitaDepartment of Surgical Pathology, Sapporo Medical University Hospital, Sapporo, Japan.
Tomohide TsukaharaDepartment of Pathology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Daisuke KyunoDepartment of Pathology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Michiko HosakaDepartment of Surgical Pathology, Sapporo Medical University Hospital, Sapporo, Japan.
Kenta SasakiDepartment of Pathology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Yoshihiko HirohashiDepartment of Pathology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Tsukasa YamakawaDepartment of Gastroenterology and Hepatology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Keisuke HaradaDepartment of Emergency Medicine, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Naofumi BunyaDepartment of Emergency Medicine, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Eichi NarimatsuDepartment of Emergency Medicine, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Hiroshi NakaseDepartment of Gastroenterology and Hepatology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Tadashi HasegawaDepartment of Surgical Pathology, Sapporo Medical University Hospital, Sapporo, Japan.
Makoto OsanaiDepartment of Pathology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Toshihiko TorigoeDepartment of Pathology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Sapporo Medical University · JPSapporo Medical University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since its discovery in late 2019, severe acute respiratory syndrome coronavirus 2 has spread around the world, causing millions of deaths due to coronavirus disease 2019 (COVID-19). Numerous clinical and post-mortem investigations of COVID-19 cases have found myriad clinical and pathological manifestations of the disease. In this report, we present three autopsy cases in which, despite weaning from extracorporeal membrane oxygenation (ECMO), extensive intestinal epithelial shedding, probably due to ischemia, was followed by massive watery diarrhea and the spread of infection via the portal vein due to bacterial translocation, which resulted in cholangitis lenta. Thrombophilia was attributed to ECMO usage and COVID-19-related vascular endothelial damage. These cases provide instructive findings showing that the loss of the intestinal barrier may be the underlying cause of severe watery diarrhea and liver failure in COVID-19 patients, especially with ECMO usage.

Identifiers

PMID37091687
PMCPMC10120430
OpenAlexW4366685359

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.