Evidence map›Paper›PMID 41621875›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Successful Conservative Management of a Traumatic Intramural Duodenal Hematoma Using a Double Elementary Diet Tube.

Jun-Ichi Hanatani, Norihisa Nishimura, Natsumi Shibasaki, Kazuki Shioya, Yusuke Komeda, Masayoshi Takami, Yukihisa Fujinaga, Koh Kitagawa, Shinya Sato, Kosuke Kaji and 3 more

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In one paragraph

Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Jun-Ichi HanataniDepartment of Gastroenterology, Nara Medical University, Japan.
Norihisa NishimuraDepartment of Gastroenterology, Nara Medical University, Japan.
Natsumi ShibasakiDepartment of Gastroenterology, Nara Medical University, Japan.
Kazuki ShioyaDepartment of Gastroenterology, Nara Medical University, Japan.
Yusuke KomedaDepartment of Gastroenterology, Nara Medical University, Japan.
Masayoshi TakamiDivision of Endoscopy, Nara Medical University, Japan.
Yukihisa FujinagaDepartment of Gastroenterology, Nara Medical University, Japan.
Koh KitagawaDepartment of Gastroenterology, Nara Medical University, Japan.
Shinya SatoDepartment of Gastroenterology, Nara Medical University, Japan.
Kosuke KajiDepartment of Gastroenterology, Nara Medical University, Japan.
Tadashi NamisakiDepartment of Gastroenterology, Nara Medical University, Japan.
Akira MitoroDivision of Endoscopy, Nara Medical University, Japan.
Hitoshi YoshijiDepartment of Gastroenterology, Nara Medical University, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 49-year-old man presented to our hospital with anorexia and vomiting. Computed tomography revealed duodenal obstruction, whereas non-contrast magnetic resonance imaging (MRI) revealed a subacute intramural hematoma. Combined with the patient's history of abdominal trauma, this led to the diagnosis of traumatic intramural duodenal hematoma. A double elementary diet (W-ED) tube was endoscopically placed for gastric decompression and enteral nutrition. The patient was successfully managed conservatively, without surgery or central venous nutrition. Oral intake resumed after 1 month, and complete resolution was confirmed at 3 months. This rare adult case of traumatic intramural duodenal hematoma highlights the diagnostic utility of MRI and clinical potential of the W-ED tube.

Indexed as

Conservative TreatmentDuodenal DiseasesEnteral NutritionHematomaHumansMagnetic Resonance ImagingMaleMiddle AgedTomography, X-Ray Computedconservative managementdouble elementary diet (W-ED) tubeintramural duodenal hematomamagnetic resonance imaging (MRI)

Identifiers

PMID41621875
PMCPMC13627505

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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.