Evidence map›Paper›PMID 42146821›Full record

ArticleAnnals of gastroenterological surgery2026

Significance of Self-Expandable Metallic Stent for Postoperative Intra-Abdominal Infection After Pancreatoduodenectomy in Patients With a Hard Pancreas.

Kosuke Mori, Haruyoshi Tanaka, Nana Kimura, Mina Fukasawa, Ayaka Itoh, Yoshihiro Shirai, Kazuto Shibuya, Kentaro Nagaoka, Yoshihiro Yamamoto, Tsutomu Fujii

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2026. 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. 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

10 authors.

Kosuke MoriDepartment of Surgery and Science, Faculty of Medicine, Academic Assembly University of Toyama Toyama Japan.ORCID https://orcid.org/0009-0005-5575-4103
Haruyoshi TanakaDepartment of Surgery and Science, Faculty of Medicine, Academic Assembly University of Toyama Toyama Japan.ORCID https://orcid.org/0000-0003-0079-8422
Nana KimuraDepartment of Surgery and Science, Faculty of Medicine, Academic Assembly University of Toyama Toyama Japan.
Mina FukasawaDepartment of Surgery and Science, Faculty of Medicine, Academic Assembly University of Toyama Toyama Japan.
Ayaka ItohDepartment of Surgery and Science, Faculty of Medicine, Academic Assembly University of Toyama Toyama Japan.
Yoshihiro ShiraiDepartment of Surgery and Science, Faculty of Medicine, Academic Assembly University of Toyama Toyama Japan.ORCID https://orcid.org/0000-0002-4907-0101
Kazuto ShibuyaDepartment of Surgery and Science, Faculty of Medicine, Academic Assembly University of Toyama Toyama Japan.
Kentaro NagaokaClinical and Research Center for Infectious Diseases Toyama University Hospital Toyama Japan.
Yoshihiro YamamotoClinical and Research Center for Infectious Diseases Toyama University Hospital Toyama Japan.
Tsutomu FujiiDepartment of Surgery and Science, Faculty of Medicine, Academic Assembly University of Toyama Toyama Japan.ORCID https://orcid.org/0000-0003-0625-1911

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Self-expandable metal stents (SEMS) are often used for preoperative biliary drainage in pancreatoduodenectomy (PD); however, their impact on postoperative intra-abdominal infection (POAI) remains unclear. This study aimed to evaluate the clinical significance of SEMS in relation to POAI. Methods: The data of 314 consecutive patients who underwent elective PD between January 2018 and May 2022 were retrospectively analyzed. Patients were categorized by biliary drainage method (NON: no preoperative biliary drainage, PS: plastic stent, or SEMS), and the associations with POAI were assessed. Bile and drainage fluid cultures were microbiologically examined. Results: Soft pancreatic texture and preoperative biliary drainage were independently associated with POAI. In the hard pancreas subgroup undergoing preoperative biliary drainage ( Conclusion: SEMS placement was associated with an increased risk of POAI in patients with a hard pancreas, who are unlikely to develop POPF. Bile cultures may assist in predicting the causative organisms of POAI in patients who undergo preoperative biliary drainage.

Indexed as

bacterial culturebiliary drainageintra‐abdominal infectionpancreatoduodenectomyself‐expandable metal stent

Identifiers

PMID42146821
PMCPMC13178259

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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.