Evidence map›Paper›PMID 38817286›Full record

ArticleWorld journal of gastrointestinal surgery2024

Should we perform decompressive laparotomy during severe acute pancreatitis with intra-abdominal hypertension below 25 mmHg: Only the gut knows.

Thibault Vieille, Melissa Crotet, Celia Turco, Paul Monasterolo, Hadrien Winiszewski, Gael Piton

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of gastrointestinal surgery, 2024. 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
–field-weighted citation impact
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. Article
  2. Review
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

6 authors.

Thibault VieilleMedical Intensive Care Unit, Besancon University Hospital, Besancon 25000, France. thibault.vieille91@gmail.com.
Melissa CrotetIntensive Care Unit, Vesoul Hospital, Vesoul 70000, France.
Celia TurcoDepartment of Digestive Surgical Oncology-Liver Transplantation Unit, Besancon University Hospital, Besancon 25000, France.
Paul MonasteroloIntensive Care Unit, Nord Franche Comte Hospital, Trevenans 90400, France.
Hadrien WiniszewskiMedical Intensive Care Unit, Besancon University Hospital, Besancon 25000, France.
Gael PitonMedical Intensive Care Unit, Besancon University Hospital, Besancon 25000, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We suggest that during severe acute pancreatitis (SAP) with intra-abdominal hypertension, practitioners should consider decompressive laparotomy, even with intra-abdominal pressure (IAP) below 25 mmHg. Indeed, in this setting, non-occlusive mesenteric ischemia (NOMI) may occur even with IAP below this cutoff and lead to transmural necrosis if abdominal perfusion pressure is not promptly restored. We report our experience of 18 critically ill patients with SAP having undergone decompressive laparotomy of which one third had NOMI while IAP was mostly below 25 mmHg.

Indexed as

Abdominal compartment syndromeAbdominal perfusion pressureAcute pancreatitisDecompressive laparotomyIntra-abdominal pressureMesenteric ischemia

Identifiers

PMID38817286
PMCPMC11135291

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.