Evidence map›Paper›PMID 42146832›Full record

ArticleAnnals of gastroenterological surgery2026

Proposal of Early Drain Exchange After Pancreatoduodenectomy From the View of Reducing Postoperative Pancreatic Fistula.

Taihei Soma, Mihoko Yamada, Ryo Ashida, Katsuhisa Ohgi, Shimpei Otsuka, Yoshiyasu Kato, Teiichi Sugiura, Katsuhiko Uesaka

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

8 authors.

Taihei SomaDivision of Hepato-Biliary-Pancreatic Surgery Shizuoka Cancer Center Shizuoka Japan.
Mihoko YamadaDivision of Hepato-Biliary-Pancreatic Surgery Shizuoka Cancer Center Shizuoka Japan.
Ryo AshidaDivision of Hepato-Biliary-Pancreatic Surgery Shizuoka Cancer Center Shizuoka Japan.ORCID https://orcid.org/0000-0001-8388-0135
Katsuhisa OhgiDivision of Hepato-Biliary-Pancreatic Surgery Shizuoka Cancer Center Shizuoka Japan.
Shimpei OtsukaDivision of Hepato-Biliary-Pancreatic Surgery Shizuoka Cancer Center Shizuoka Japan.ORCID https://orcid.org/0000-0002-2450-3011
Yoshiyasu KatoDivision of Hepato-Biliary-Pancreatic Surgery Shizuoka Cancer Center Shizuoka Japan.
Teiichi SugiuraDivision of Hepato-Biliary-Pancreatic Surgery Shizuoka Cancer Center Shizuoka Japan.ORCID https://orcid.org/0000-0001-7163-4084
Katsuhiko UesakaDivision of Hepato-Biliary-Pancreatic Surgery Shizuoka Cancer Center Shizuoka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To mitigate the progression of postoperative pancreatic fistula (POPF) after pancreatoduodenectomy (PD), appropriate drain management is required, and exchanging drainage tubes is commonly performed. However, the optimal timing of the first drain exchange has not yet been determined. Methods: Among 481 patients who underwent PD between 2019 and 2023, 173 (36.0%) whose drain fluid amylase activity on postoperative day (POD) 3 was ≥ 375 U/L and who underwent drain exchange were classified into 2 groups according to the timing of the first drain exchange: the early group (POD 5 or earlier, Results: Of the overall 481 patients, grade B POPF occurred in 117 (24.3%) patients, with no grade C POPF. Among the 173 patients analyzed, the early group had a lower proportion of grade B POPF (47.3% vs. 73.7%, Conclusion: Performing the first drain exchange early after PD was associated with a reduced incidence of POPF, shorter drain duration, and shorter hospital stay. This approach may improve the drainage efficiency.

Indexed as

drain exchangepancreatoduodenectomypostoperative pancreatic fistula

Identifiers

PMID42146832
PMCPMC13178272

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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.