Evidence map›Paper›PMID 40890662›Full record

SynthesisBMC gastroenterology2025

Ulinastatin for the treatment of severe acute pancreatitis: a systematic review and meta-analysis.

Sanjay Bandyopadhyay, Shambo Samrat Samajdar, Saibal Das

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

3 authors.

Sanjay BandyopadhyayDepartment of Gastroenterology, ILS Dumdum Hospital, Kolkata, 700 080, India. drsanjaygastro@gmail.com.
Shambo Samrat SamajdarDepartment of Clinical and Experimental Pharmacology, Calcutta School of Tropical Medicine, Kolkata, India.
Saibal DasIndian Council of Medical Research - Centre for Ageing and Mental Health, Kolkata, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere acute pancreatitis (SAP) lacks a definitive treatment option. Although ulinastatin has demonstrated anti-inflammatory and organ-preserving properties, its role in SAP remains unclear due to divergent findings. Hence, we evaluated the efficacy and role of ulinastatin in patients with SAP.

methodsA systematic review and meta-analysis were performed according to the 2020 PRISMA guidelines. An extensive search was performed in databases including PubMed, ClinicalTrials.gov, WHO International Clinical Trials Registry Platform, Embase, IndMED, Cochrane Library, Cochrane Methodology Register, and Cochrane Database of Systematic Reviews to obtain relevant data. Prospective and retrospective studies evaluating patients aged ≥ 18 years with SAP were included. Factors including mortality rate, hospitalisation duration, acute physiology and chronic health evaluation (APACHE-II) score, white blood cell (WBC) count, c-reactive protein (CRP), tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) and time to abdominal pain disappearance were assessed.

resultsThe pooled analysis of seven studies revealed a significant reduction in mortality risk, [risk ratio, (95% CI: 0.20, 0.65); i

conclusionUlinastatin, administered either alone or in combination with other therapeutic agents, was associated with significant improvements in clinical outcomes and reduced mortality rates in patients with severe acute pancreatitis.

Indexed as

GlycoproteinsPancreatitisTrypsin InhibitorsAcute DiseaseAPACHEC-Reactive ProteinHumansInterleukin-6Length of StaySeverity of Illness IndexTreatment OutcomeTumor Necrosis Factor-alphaC-Reactive ProteinGlycoproteinsInterleukin-6Trypsin InhibitorsTumor Necrosis Factor-alphaurinastatinC-reactive proteinInterleukin-6MortalitySevere acute pancreatitisTumor necrosis factor-αUlinastatin

Identifiers

PMID40890662
PMCPMC12403525

What OpenQuestion holds

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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.