Evidence map›Paper›PMID 40080354›Full record

ArticleUpdates in surgery2025

Diagnosis and management of caustic ingestion: an interdisciplinary nationwide cross-sectional survey from the Italian society of endoscopic surgery and new technologies (SICE), the Italian society of digestive endoscopy (SIED), the world society of emergency surgery-Italy chapter (WSESit), and the Italian society of surgical endoscopy and digestive diseases (ISSE).

Alessio Giordano, Manuela Mastronardi, Mauro Podda, Luigi Bonavina, Diego Cuccurullo, Gabriele Anania, Carlo Bergamini, Giuseppe Galloro, Cesare Hassan, Maria Caterina Parodi and 13 more

Abstract read
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In one paragraph

Article in Updates in surgery, 2025. 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

23 authors.

Alessio GiordanoEmergency Surgery Unit, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy. alessio.giordano8@gmail.com.ORCID http://orcid.org/0000-0002-9505-791X
Manuela MastronardiDepartment of Medicine, Surgery and Health Sciences, General Surgery Unit, University Hospital of Trieste, Trieste, Italy.
Mauro PoddaDepartment of Surgical Science, Cagliari State University, Cagliari, Italy.
Luigi BonavinaDivision of General and Foregut Surgery, Department of Biomedical Sciences for Health, IRCCS Policlinico San Donato, University of Milan, Milan, Italy.
Diego CuccurulloDepartment of Surgery, Ospedale Monaldi-Azienda Ospedaliera Dei Colli, Naples, Italy.
Gabriele AnaniaDepartment of Surgery, Sant'Anna University Hospital, Ferrara, Italy.
Carlo BergaminiEmergency Surgery Unit, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
Giuseppe GalloroDepartment of Clinical Medicine, Surgery Digestive Surgical Endoscopy Unit, University of Naples Federico II, Naples, Italy.
Cesare HassanDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.
Maria Caterina ParodiDepartment of Gastroenterology and Digestive Endoscopy, IRCCS Teaching Hospital San Martino, Genoa, Italy.
Ferdinando AgrestaDepartment of General Surgery, Ulss2 Marca Trevigiana, Vittorio Veneto, Treviso, Italy.
Giulia MontoriDepartment of General Surgery, Ulss2 Marca Trevigiana, Vittorio Veneto, Treviso, Italy.
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy.
Fausto CatenaEmergency and Trauma Surgery Unit, Bufalini Hospital, Cesena, Italy.
Paola FugazzolaDepartment of General and Emergency Surgery, Policlinico San Matteo, Pavia, Italy.
Luca AnsaloniDepartment of General and Emergency Surgery, Policlinico San Matteo, Pavia, Italy.
Emanuele MarcianoDigestive Endoscopy Unit, Pisa University Hospital, Pisa, Italy.
Girolamo GeraciEmergency and General Surgery Unit, Palermo University Hospital "P. Giaccone", Palermo, Italy.
Attilio MauranoDigestive Endoscopy Unit, Mercato San Severino Hospital, Mercato San Severino, Salerno, Italy.
Manuela AvellinoDigestive Endoscopy Unit, Santa Maria Delle Grazie Hospital, Pozzuoli, Italy.
Arianna MassellaEmergency Endoscopy Unit, Verona University Hospital, Verona, Italy.
Beatrice OrlandiniGastroenterology Unit, Careggi University Hospital, Florence, Italy.
Italian Caustic Ingestion collaborative group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Caustic ingestion (CI) in adults represents a potentially life-threatening condition. Diagnosis and management of CI in real life remain challenging. The aim of the survey is to evaluate on a national scale the multidisciplinary management of these patients. 24-item online Survey was sent to the mailing lists and social media of Italian Society of Endoscopic Surgery and New Technologies, Italian Society of Digestive Endoscopy, World Society of Emergency Surgery-Italy Chapter, and Italian Society of Surgical Endoscopy and Digestive Diseases. Overall, 240 subjects answered to the survey, corresponding to 22.1% of the total members of the scientific societies involved. 131 (54.5%) respondents evaluated fewer than ten CI patients per year. The recommendations provided by the WSES and SIED guidelines were followed by 133 (55.2%) and 83 (34.4%) participants, respectively. Emergency surgery was advocated by 180 (77.6%) of the respondents for patients with transmural necrosis or signs of perforation, using minimally invasive surgery in 47% of the cases and considering initial esophagojejunal anastomosis as safe in 33 (14.2%) of the responses. Our study is the first to provide real-life data on how the management of CI varies across Italian physicians, according to regional, institutional, and specialty-related factors. This survey highlights the need for standardized and uniform guidelines.

Indexed as

Burns, ChemicalCausticsAdultCross-Sectional StudiesEndoscopy, GastrointestinalFemaleHumansItalyMaleSocieties, MedicalSurveys and QuestionnairesCausticsCaustic ingestionDiagnostic endoscopyEmergency surgeryMinivasive emergency surgeryMultidisciplinary approach

Identifiers

PMID40080354

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.