ArticleChirurgie (Heidelberg, Germany)2026
[Management of complications of the upper gastrointestinal tract following external primary procedures : Case series on complex clinical courses and continuation of treatment at a high-volume center].
Article in Chirurgie (Heidelberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe centralization of hospital services and the introduction of minimum volume requirements represent key pillars of modern health policy, affecting both the quality of care and the handling of clinical complications.
objectiveThis case study investigates the resources required at a tertiary or high-volume care center for the further treatment of patients with externally complicated primary procedures. MATERIAL AND
methodsThe prospective single-center study included patients who underwent externally complicated surgery, intervention, or diagnostic procedure in the upper gastrointestinal tract between 1 January 2023 and 31 December 2024, and were subsequently treated at the Department of General, Visceral, Thoracic, and Transplantation Surgery of the University Hospital Cologne.
resultsA total of 39 patients (male: 38.5%, female: 61.5%; average age: 68.1 years) were treated at our center after complicated primary procedures at external hospitals. The most common complications were perforation, suture insufficiency, and incomplete resection/reconstruction. Following occurrence of a complication 15 patients were transferred directly to the high-volume center. Interventional and/or surgical revisions were performed on 24 patients at external hospitals. At the time of transfer 71.8% of patients were in need of intensive care. A cumulative total of 115 surgical and 243 endoscopic procedures with 171 endoscopic vacuum (EndoVAC) changes were performed after transfer to the high-volume center. Over time, 25.6% of patients were readmitted to a local facility and 61.5% were discharged home. The mortality rate was 12.8 %.
conclusionThe treatment of patients with externally complicated primary procedures requires considerable personnel, logistical, and medical resources, especially for extensive diagnostics, complex surgical care, and intensive medical care.
Indexed as
Identifiers
42573756What OpenQuestion holds
Registered trials
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.