Evidence map›Paper›PMID 39652097›Full record

ArticleLangenbeck's archives of surgery2024

Pancreaticoduodenectomy with pancreaticogastrostomy and an external pancreatic stent in risky patients: a propensity score-matched analysis.

Mohamed Abdelwahab, Ayman El Nakeeb, Ahmed Shehta, Hosam Hamed, Ahmed M Elsabbagh, Mohamed Attia, Reham Abd El-Wahab, Talaat Abd Allah, Mahmoud Abdelwahab Ali

Abstract read
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Article in Langenbeck's archives of surgery, 2024. 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
–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

1 citing paper in PubMed.

  1. Trial
4 · The record

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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

9 authors.

Mohamed AbdelwahabGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt.ORCID https://orcid.org/0000-0003-0004-6036
Ayman El NakeebGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt. elnakeebayman@yahoo.com.ORCID http://orcid.org/0000-0002-3002-6872
Ahmed ShehtaGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt.ORCID https://orcid.org/0000-0002-9184-8597
Hosam HamedGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt.ORCID https://orcid.org/0000-0003-2774-2947
Ahmed M ElsabbaghGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt.ORCID https://orcid.org/0000-0003-4773-8144
Mohamed AttiaGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt.ORCID https://orcid.org/0000-0003-4835-8856
Reham Abd El-WahabRadiology Department, Mansoura University, Mansoura, 35516, Egypt.ORCID https://orcid.org/0000-0002-2122-3794
Talaat Abd AllahGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt.ORCID https://orcid.org/0000-0002-0078-2028
Mahmoud Abdelwahab AliGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt.ORCID https://orcid.org/0000-0001-7958-4202

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is an ongoing debate about the most appropriate method for reconstructing the pancreas after a pancreaticoduodenectomy (PD). This study assessed the impact of pancreaticogastrostomy (PG) with an external pancreatic stent on postoperative outcomes following PD in high-risk patients. PATIENTS AND

methodsThis study involves a propensity score-matched analysis of high-risk patients who underwent PD with PG reconstruction. The primary outcome measure was the occurrence of Postoperative Pancreatic Fistula (POPF). Secondary outcomes included operative time, intraoperative blood loss, length of hospital stay, re-exploration rate, as well as postoperative morbidity and mortality rates.

resultsThe study included 78 patients; 26 patients underwent PD with Pancreatogastrostomy (PG) and an external pancreatic stent, while 52 underwent PG without a pancreatic stent. Blood loss and operative time did not significantly differ between the two groups. The overall postoperative morbidity was higher in the group without a stent than in the stented group (34.6% vs. 15.4%, P = 0.06). No patient in the pancreatic stent group developed a clinically relevant POPF; however, in the non-stented group of PG, 17.3% developed POPF. There were no cases of hospital mortality in the stented group. However, in the non-stented group, two hospital mortality happened (one case was due to the systemic inflammatory response syndrome (SIRS) secondary to POPF grade C, and the other was due to pulmonary embolism.

conclusionPG with an external pancreatic stent results in fewer clinically relevant pancreatic fistulas, a decrease in postoperative morbidities, and a non-existent mortality rate in high-risk patients.

Indexed as

GastrostomyPancreatic FistulaPancreaticoduodenectomyPostoperative ComplicationsPropensity ScoreStentsAdultAgedFemaleHumansMaleMiddle AgedPancreasPancreatic NeoplasmsRetrospective StudiesTreatment OutcomeClinically relevant pancreatic fistulaPancreaticoduodenectomyPancreaticogastrostomyPancreatic stentPeriampullary tumourPGPOPF

Identifiers

PMID39652097

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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.