Evidence map›Paper›PMID 42301609›Full record

ArticleClinical journal of gastroenterology2026

Successful management of refractory chylous ascites using a Denver shunt following conversion surgery for unresectable locally advanced pancreatic cancer.

Dongha Lee, Keiko Kamei, Masaya Nakano, Katsuya Ami, Chihoko Nobori, Yuta Yoshida, Takaaki Murase, Kentaro Tai, Atsushi Takebe, Ippei Matsumoto

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical journal of gastroenterology, 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

10 authors.

Dongha LeeDepartment of Surgery, Faculty of Medicine, Kindai University, 1-14-1 Mihara-dai, Minami-ku, Sakai, Osaka, 590-0197, Japan.
Keiko KameiDepartment of Surgery, Faculty of Medicine, Kindai University, 1-14-1 Mihara-dai, Minami-ku, Sakai, Osaka, 590-0197, Japan.
Masaya NakanoDepartment of Surgery, Faculty of Medicine, Kindai University, 1-14-1 Mihara-dai, Minami-ku, Sakai, Osaka, 590-0197, Japan.
Katsuya AmiDepartment of Surgery, Faculty of Medicine, Kindai University, 1-14-1 Mihara-dai, Minami-ku, Sakai, Osaka, 590-0197, Japan.
Chihoko NoboriDepartment of Surgery, Faculty of Medicine, Kindai University, 1-14-1 Mihara-dai, Minami-ku, Sakai, Osaka, 590-0197, Japan.
Yuta YoshidaDepartment of Surgery, Faculty of Medicine, Kindai University, 1-14-1 Mihara-dai, Minami-ku, Sakai, Osaka, 590-0197, Japan.
Takaaki MuraseDepartment of Surgery, Faculty of Medicine, Kindai University, 1-14-1 Mihara-dai, Minami-ku, Sakai, Osaka, 590-0197, Japan.
Kentaro TaiDepartment of Surgery, Faculty of Medicine, Kindai University, 1-14-1 Mihara-dai, Minami-ku, Sakai, Osaka, 590-0197, Japan.
Atsushi TakebeDepartment of Surgery, Faculty of Medicine, Kindai University, 1-14-1 Mihara-dai, Minami-ku, Sakai, Osaka, 590-0197, Japan.
Ippei MatsumotoDepartment of Surgery, Faculty of Medicine, Kindai University, 1-14-1 Mihara-dai, Minami-ku, Sakai, Osaka, 590-0197, Japan. ippeimm@gmail.com.ORCID http://orcid.org/0000-0003-3965-3693

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe a case of refractory chylous ascites (RCA) successfully managed with a Denver shunt (DS) after conversion surgery for unresectable locally advanced pancreatic cancer. A 55-year-old woman developed RCA 6 months after distal pancreatectomy with celiac axis and portal vein resection. Conservative therapy, lymphangiography, and repeated paracentesis were ineffective. After confirming negative cytology, culture, and endotoxin tests, DS placement on postoperative day 425 resulted in rapid resolution of ascites, accompanied by improvement in body weight and hypoalbuminemia. No early major complications were observed after DS placement, and she was discharged safely. Although the shunt was removed 29 months later because of internal jugular vein thrombosis, no reaccumulation of ascites was observed thereafter. The patient remains alive without reaccumulation of ascites or tumor recurrence 60 months after curative resection. Although careful patient selection is essential because of potential complications, DS may serve as an effective salvage option for postoperative RCA when conservative approaches fail.

Indexed as

Chylous AscitesPancreatectomyPancreatic NeoplasmsPostoperative ComplicationsFemaleHumansMiddle AgedConversion surgeryDenver shuntRefractory chylous ascites

Identifiers

PMID42301609
PMCPMC13645890

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.