Evidence map›Paper›PMID 42266246›Full record

ArticleCase reports in gastrointestinal medicine2026

A Rare Case of Pneumobilia and Pancreatitis Following Difficult IRIS-Guided Nasoenteric Tube Placement With Additional Air Insufflation: A Case Report and Literature Review.

Alaa Alresheq, Mustafa A Shahrori, Mohammad Almeqdadi

Abstract read
In one paragraph

Article in Case reports in gastrointestinal medicine, 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

3 authors.

Alaa AlresheqDepartment of Internal Medicine, Al-Quds University, East Jerusalem, P600, State of Palestine, alquds.edu.ORCID https://orcid.org/0000-0003-0114-8747
Mustafa A ShahroriFaculty of Medicine, An-Najah National University, Nablus, State of Palestine, najah.edu.ORCID https://orcid.org/0009-0002-6008-1204
Mohammad AlmeqdadiDepartment of Transplant Hepatology, Tufts Medical Center, Boston, Massachusetts, 02111, USA, tuftsmedicalcenter.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article presents a rare case of acute pancreatitis and pneumobilia identified after difficult Kangaroo feeding tube with Integrated Real-time Imaging System (IRIS) Technology insertion in a 40-year-old female with multiple comorbidities. The patient's profound cardiogenic shock, recently initiated captopril, and imaging evidence of descending and sigmoid colitis suggested a likely multifactorial process that may also have included ischemic pancreatic and bowel injury. Although a temporal association with additional air insufflation was noted, the exact causal relationship remains uncertain, with a procedure-related contribution considered more plausible for pneumobilia than for pancreatitis. To our knowledge, no similar published case was identified. The article highlights the possible etiologies of these complications after NG tube insertion and emphasizes the need for careful insufflation practices and thoughtful deployment of advanced NG tube technologies in critically ill patients.

Indexed as

insufflationnasogastric tubepancreatitispneumobilia

Identifiers

PMID42266246
PMCPMC13243761

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.