Evidence map›Paper›PMID 40371208›Full record

ArticleAnnals of gastroenterology

Incidence of ileus and associated factors in patients with acute pancreatitis: a nationwide analysis.

Anmol Singh, Ritika Dhruve, Carol Singh, Vikash Kumar, Aalam Sohal, Divyesh Sejpal

Abstract read
In one paragraph

Article in Annals of gastroenterology. 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. Frequency and predictors of small intestinal bacterial overgrowth in acute pancreatitis.World journal of gastrointestinal pharmacology and therapeutics · 2026
    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

6 authors.

Anmol SinghDepartment of Internal Medicine, Tristar Centennial Medical Center, Nashville, TN, USA (Anmol Singh).
Ritika DhruveDepartment of Medicine, University of Southwestern Texas, Dallas, TX, USA (Ritika Dhruve).
Carol SinghDepartment of Internal Medicine, Dayanand Medical College, Ludhiana, PB, India (Carol Singh).
Vikash KumarDivision of Gastroenterology, Creighton University, Phoenix, AZ, USA (Vikash Kumar, Aalam Sohal, Divyesh Sejpal).
Aalam SohalDivision of Gastroenterology, Creighton University, Phoenix, AZ, USA (Vikash Kumar, Aalam Sohal, Divyesh Sejpal).
Divyesh SejpalDivision of Gastroenterology, Creighton University, Phoenix, AZ, USA (Vikash Kumar, Aalam Sohal, Divyesh Sejpal).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ileus is a well-known complication of acute pancreatitis (AP). There are limited data on the factors associated with ileus, as well as its impact on AP patients. We aimed to investigate the incidence and clinical predictors of ileus in hospitalized AP patients. Methods: We queried the 2016-2019 National Inpatient Sample (NIS) database using the International Classification of Diseases (ICD)-10 codes. Adult patients diagnosed with AP (ICD-10 K85) were included, excluding those with chronic pancreatitis. Demographics, comorbidities, complications and interventions were stratified by the presence of ileus. Multivariate analysis identified factors associated with ileus, adjusting for patient and hospital characteristics, comorbidities, and pancreatitis complications. Results: Among 1,386,390 AP patients, 50,170 (3.6%) developed ileus. Female sex was associated with a lower risk (adjusted odds ratio [aOR] 0.56, 95% confidence interval [CI] 0.53-0.58; P<0.001). Hispanic patients had the lowest risk (aOR 0.82, 95%CI 0.76-0.88), while older age groups had a higher risk. Pseudocysts (P<0.001), sepsis (P<0.001) and portal vein thrombosis (P<0.001) were significant predictors. Pancreatic drainage was associated with ileus (P=0.007), but endoscopic retrograde cholangiopancreatography was not. Patients with ileus had greater mortality (P<0.001), longer hospital stays (+4.9 days, P<0.001), and higher costs ($67,855.91, P<0.001). Conclusions: This study highlights age, sex and racial disparities in the development of ileus in patients with AP. It also reveals a significant association of ileus with pseudocysts, portal vein thrombosis, and pancreatic drainage. Early recognition and timely enteral feeding are crucial to prevent disease progression and improve outcomes.

Indexed as

factorsIleusincidencenational inpatient samplepancreatitis

Identifiers

PMID40371208
PMCPMC12070343

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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.