Evidence map›Paper›PMID 40584480›Full record

ArticleWorld journal of gastrointestinal surgery2025

Comparison of three reconstruction techniques performed after pancreaticoduodenectomy: Using external, internal, or no stent.

Carlos Jiménez-Romero, Alejandro Marcacuzco-Quinto, Oscar Caso-Maestro, Laura Alonso, Clara Fernández-Fernández, Iago Justo

Abstract read
In one paragraph

Article in World journal of gastrointestinal surgery, 2025. 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

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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. 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.

Carlos Jiménez-RomeroUnit of Hepato-Pancreato-Biliary Surgery and Abdominal Organ Transplantation, "12 de Octubre" University Hospital, Madrid 28041, Spain.
Alejandro Marcacuzco-QuintoUnit of Hepato-Pancreato-Biliary Surgery and Abdominal Organ Transplantation, Department of Surgery, "12 de Octubre" University Hospital, Instituto de Investigación Sanitaria Hospital, Madrid 28045, Spain.
Oscar Caso-MaestroUnit of Hepato-Pancreato-Biliary Surgery and Abdominal Organ Transplantation, "12 de Octubre" University Hospital, Madrid 28041, Spain.
Laura AlonsoUnit of Hepato-Pancreato-Biliary Surgery and Abdominal Organ Transplantation, Department of Surgery, "12 de Octubre" University Hospital, Instituto de Investigación Sanitaria Hospital, Madrid 28045, Spain.
Clara Fernández-FernándezUnit of Hepato-Pancreato-Biliary Surgery and Abdominal Organ Transplantation, "12 de Octubre" University Hospital, Madrid 28041, Spain.
Iago JustoUnit of Hepato-Pancreato-Biliary Surgery and Abdominal Organ Transplantation, Department of Surgery, "12 de Octubre" University Hospital, Instituto de Investigación Sanitaria Hospital, Madrid 28045, Spain. ijusto@ucm.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative pancreatic fistula (POPF) is the most frequent cause of morbimortality after pancreaticoduodenectomy, but the best technique to use to prevent its development is unclear. The choice of drainage method external duct stent (EDS), internal duct stent (IDS), or non-ductal stent (NDS) is also controversial.

aimTo compare the three groups (EDS, IDS and NDS), analyzing the patient characteristics, perioperative examinations and survival.

methodsPatients who underwent pancreaticoduodenectomy and pancreaticojejunostomy between 2012 and 2020, were divided into the EDS, IDS and NDS groups.

resultsOf the 244 patients included, 129 were in the EDS group, 71 in the IDS group, and 44 in the NDS group. Except for preoperative pancreatitis in the NDS patients, comorbidities were similar among the groups. Patients in the NDS group had a high caliber of the Wirsung duct and frequently presented with a hard pancreas (

conclusionThe use of the EDS was a protective factor for grade B/C POPF and 90-day mortality, and the Wirsung duct < 3 mm was a risk factor for grade B/C POPF and 90-day mortality.

Indexed as

External duct stentInternal duct stentNo ductal stentPancreaticoduodenectomyPancreaticojejunostomyPostoperative pancreatic fistula

Identifiers

PMID40584480
PMCPMC12188594

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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.