Evidence map›Paper›PMID 39538165›Full record

ArticleBMC surgery2024

Retroperitoneal pancreas transplantation with a Roux-en-Y duodenojejunostomy for exocrine drainage.

Mogeli Sh Khubutiya, Ilya V Dmitriev, Nikita S Zhuravel, Aslan G Balkarov, Roman V Storozhev, Yuri A Anisimov, Alexander S Kondrashkin, Nonna V Shmarina

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In one paragraph

Article in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Mogeli Sh KhubutiyaDepartment of Kidney and Pancreas transplantation, N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Health Department, Moscow, Russia.ORCID http://orcid.org/0000-0002-0746-1884
Ilya V DmitrievDepartment of Kidney and Pancreas transplantation, N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Health Department, Moscow, Russia.ORCID http://orcid.org/0000-0002-5731-3310
Nikita S ZhuravelDepartment of Kidney and Pancreas transplantation, N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Health Department, Moscow, Russia. zhuravelns@gmail.com.ORCID http://orcid.org/0000-0002-0156-2107
Aslan G BalkarovDepartment of Kidney and Pancreas transplantation, N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Health Department, Moscow, Russia.ORCID http://orcid.org/0000-0002-1396-7048
Roman V StorozhevDepartment of Kidney and Pancreas transplantation, N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Health Department, Moscow, Russia.ORCID http://orcid.org/0000-0002-7953-8182
Yuri A AnisimovDepartment of Kidney and Pancreas transplantation, N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Health Department, Moscow, Russia.ORCID http://orcid.org/0000-0002-3041-7478
Alexander S KondrashkinDepartment of Kidney and Pancreas transplantation, N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Health Department, Moscow, Russia.ORCID http://orcid.org/0000-0003-3070-8440
Nonna V ShmarinaDepartment of Kidney and Pancreas transplantation, N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Health Department, Moscow, Russia.ORCID http://orcid.org/0000-0002-8199-905X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic transplantation is the only definitive surgical treatment for diabetes mellitus. Currently, most transplant centers use enteric exocrine drainage of pancreatic secretions; however, experts disagree on which part of the gastrointestinal tract is preferable for enteric anastomosis. We analyzed the outcomes of retroperitoneal pancreatic transplantation with enteric drainage of pancreatic secretions. MATERIALS AND

methodsWe evaluated the outcomes of 60 simultaneous retroperitoneal pancreas-kidney transplantations. Based on the type of enteric anastomosis, the patients were divided into two groups: the study group consisted of 10 patients who underwent enteric drainage via Roux-en-Y duodenojejunostomy, and the control group included 50 patients who underwent exocrine drainage via duodenoduodenal anastomosis. No statistically significant differences were observed between the groups in terms of the main parameters.

resultsThe rate of surgical complications did not differ significantly between the groups (p > 0.05). Clavien IVb complications occurred only in the control group (n = 4.8%). The in-hospital pancreatic graft survival rate in both groups was 80%, whereas the recipient survival rates were 90% and 84%, in the study and control groups, respectively (p < 0.05).

conclusionRetroperitoneal pancreatic transplantation with exocrine drainage via a Roux-en-Y duodenojejunostomy is an effective alternative technique that reduces the rate of severe surgical complications.

Indexed as

Anastomosis, Roux-en-YDrainageKidney TransplantationPancreas TransplantationAdultDuodenumFemaleGraft SurvivalHumansJejunostomyMaleMiddle AgedPostoperative ComplicationsRetroperitoneal SpaceRetrospective StudiesTreatment OutcomeDuodenoduodenal anastomosisDuodenojejunal anastomosisPancreas transplantationPancreatic graft survivalRecipient survivalSimultaneous pancreas-kidney transplantationSurgical complications

Identifiers

PMID39538165
PMCPMC11562524

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