Evidence map›Paper›PMID 37936060›Full record

ArticleBMC gastroenterology2023

Endovascular treatment of postoperative hemorrhage after pancreatectomy: a retrospective study.

Hideki Izumi, Hisamichi Yoshii, Rika Fujino, Shigeya Takeo, Eiji Nomura, Masaya Mukai, Satoshi Suda, Kosuke Tomita, Shunsuke Kamei, Yukihisa Ogawa and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.8field-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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  4. Review
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  8. Stent-graft implantation for late postpancreatectomy hemorrhage after pancreatoduodenectomy.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025
    Article
  9. 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

12 authors at 1 institution in 1 country.

Hideki IzumiDepartment of Gastrointestinal Surgery, Tokai University Hachioji Hospital, Ishikawa, Hachioji, Tokyo, 1838, 192-0032, Japan. deehii@is.icc.u-tokai.ac.jp.
Hisamichi YoshiiDepartment of Gastrointestinal Surgery, Tokai University Hachioji Hospital, Ishikawa, Hachioji, Tokyo, 1838, 192-0032, Japan.
Rika FujinoDepartment of Gastrointestinal Surgery, Tokai University Hachioji Hospital, Ishikawa, Hachioji, Tokyo, 1838, 192-0032, Japan.
Shigeya TakeoDepartment of Gastrointestinal Surgery, Tokai University Hachioji Hospital, Ishikawa, Hachioji, Tokyo, 1838, 192-0032, Japan.
Eiji NomuraDepartment of Gastrointestinal Surgery, Tokai University Hachioji Hospital, Ishikawa, Hachioji, Tokyo, 1838, 192-0032, Japan.
Masaya MukaiDepartment of Gastrointestinal Surgery, Tokai University Hachioji Hospital, Ishikawa, Hachioji, Tokyo, 1838, 192-0032, Japan.
Satoshi SudaDepartment of Radiology, Tokai University Hachioji Hospital, 1838 Ishikawa, Hachioji, Tokyo, 192-0032, Japan.
Kosuke TomitaDepartment of Radiology, Tokai University Hachioji Hospital, 1838 Ishikawa, Hachioji, Tokyo, 192-0032, Japan.
Shunsuke KameiDepartment of Radiology, Tokai University Hachioji Hospital, 1838 Ishikawa, Hachioji, Tokyo, 192-0032, Japan.
Yukihisa OgawaDepartment of Radiology, Tokai University Hachioji Hospital, 1838 Ishikawa, Hachioji, Tokyo, 192-0032, Japan.
Terumitsu HasebeDepartment of Radiology, Tokai University Hachioji Hospital, 1838 Ishikawa, Hachioji, Tokyo, 192-0032, Japan.
Hiroyasu MakuuchiDepartment of Gastrointestinal Surgery, Tokai University Hachioji Hospital, Ishikawa, Hachioji, Tokyo, 1838, 192-0032, Japan.
Tokai University Hachioji Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRuptured aneurysm is a serious complication of distal pancreatectomy (DP) or pancreatoduodenectomy (PD) that can be life-threatening if not treated promptly. This study aimed to examine the efficacy of a Viabahn stent graft for stopping bleeding after pancreatectomy.

methodsBetween April 2016 and June 2022, we performed 245 pancreatectomies in our institution. Six patients experienced postoperative bleeding and underwent endovascular treatment.

resultsAll six cases of bleeding occurred post-PD (3.7%). The bleeding was from gastroduodenal artery (GDA) pseudoaneurysms in three patients, and Viabahn stent grafts were inserted. All three patients did not show liver function abnormalities or hepatic blood flow disorders. One patient with a Viabahn stent graft experienced rebleeding, which required further management to obtain hemostasis. Of the six cases in which there was hemorrhage, one case of bleeding from the native hepatic artery could not be managed.

conclusionsUsing the Viabahn stent graft is an effective treatment option for postoperative bleeding from GDA pseudoaneurysms following PD. In most cases, using this device resulted in successful hemostasis, without observed abnormalities in hepatic function or blood flow.

Indexed as

Endovascular ProceduresPostoperative HemorrhageAneurysm, FalseHumansPancreatectomyPancreaticoduodenectomyRetrospective StudiesStentsTreatment OutcomeGastroduodenal artery bleedingPancreaticoduodenectomyPseudoaneurysmViabahn stent graft

Identifiers

PMID37936060
PMCPMC10631063
OpenAlexW4388453968

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.