Evidence map›Paper›PMID 37632575›Full record

Observational studyLangenbeck's archives of surgery2023

Contribution of prophylactic administration of flurbiprofen for mesenteric traction syndrome to postoperative leakage or bleeding in gastrointestinal surgery: a retrospective observational study.

Manzo Suzuki, Junpei Shibata, Toshiaki Mochizuki, Hiroyasu Bito

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Langenbeck's archives of surgery, 2023. 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

4 authors at 1 institution in 1 country.

Manzo SuzukiDepartment of Anesthesiology, Musashikosugi Hospital Nippon Medical School, 1-396 Kosugi-Cho Nakahara-Ku, Kawasaki, Kanagawa, 211-8533, Japan. manzo@nms.ac.jp.
Junpei ShibataDepartment of Anesthesiology and Resuscitology (Okazaki Medical Center), Fujita Health University School of Medicine, 1 Gotanda Harizaki-Cho, Okazaki Aichi, 444-0827, Japan.
Toshiaki MochizukiDepartment of Anesthesiology and Resuscitology (Okazaki Medical Center), Fujita Health University School of Medicine, 1 Gotanda Harizaki-Cho, Okazaki Aichi, 444-0827, Japan.
Hiroyasu BitoDepartment of Anesthesiology and Resuscitology (Okazaki Medical Center), Fujita Health University School of Medicine, 1 Gotanda Harizaki-Cho, Okazaki Aichi, 444-0827, Japan.
Fujita Health University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMesenteric traction syndrome (MTS) sometimes occurs during abdominal surgery. Prophylactic administration of flurbiprofen, a non-steroidal anti-inflammatory drug, prevents the development of MTS. However, administration of non-steroidal anti-inflammatory drugs for postoperative pain increases the incidence of postoperative bleeding. Our aim was to examine the effect of prophylactic flurbiprofen administration on postoperative leakage or bleeding after gastrointestinal surgery.

methodsA retrospective observational study on patients who underwent open or laparoscopic abdominal surgery was conducted. Perioperative, anesthesia and medical records were reviewed. Patients who did (Flurbio-Group) or did not receive (Control-Group) prophylactic flurbiprofen administration were compared. Then, the Flurbio-Group and Control-Group were each divided into two groups according to whether the patients did or did not develop MTS (Flurbio-MTS-Group and Flurbio-no-MTS-Group, respectively, Control-MTS-Group and Control-no-MTS-Group, respectively).

resultsThis study included 188 patients (Flurbio-MTS-Group, 1 patient; Flurbio-no-MTS-Group, 31 patients; Control-MTS-Group, 59 patients; Control-no-MTS-Group, 97 patients). Seventeen patients developed postoperative leakage or bleeding. Eleven Flurbio-MTS-Group patients (18.6%), 4 Flurbio-no-MTS-Group patients (12.9%, 4/31), and only 2 Control-no-MTS-Group patients (2%, 2/97) developed postoperative leakage or bleeding. Multivariate logistic regression analysis demonstrated that there was a qualitative interaction effect between prophylactic administration of flurbiprofen and the development of MTS on postoperative leakage or bleeding.

conclusionProphylactic flurbiprofen administration increased the risk of postoperative leakage or bleeding among patients who did not develop MTS.

Indexed as

AbdomenAnti-Inflammatory Agents, Non-SteroidalFlurbiprofenPostoperative HemorrhageHumansIncidenceLaparoscopyPostoperative ComplicationsPostoperative PainRetrospective StudiesAnti-Inflammatory Agents, Non-SteroidalFlurbiprofenMesenteric traction syndromeNon-steroidal anti-inflammatory drugsPatients’ outcomePostoperative leakage or bleeding

Identifiers

PMID37632575
OpenAlexW4386195324

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.