Evidence map›Paper›PMID 27500244›Full record

ArticleTransplantation direct2016

Conservative Pancreas Graft Preservation at the Extreme.

Jerome Martin Laurence, Gonzalo Sapisochin, Markus Selzner, Andrea Norgate, Deepali Kumar, Ian D McGilvary, Paul D Preig, Jeffrey Schiff, Mark S Cattral

Abstract read
In one paragraph

Article in Transplantation direct, 2016. 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

9 authors.

Jerome Martin LaurenceDepartment of Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.; RPA Institute of Academic Surgery, Royal Prince Alfred Hospital, University of Sydney, New South Wales, Australia.
Gonzalo SapisochinDepartment of Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
Markus SelznerDepartment of Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
Andrea NorgateDepartment of Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
Deepali KumarDepartment of Medicine, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
Ian D McGilvaryDepartment of Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
Paul D PreigDepartment of Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
Jeffrey SchiffRPA Institute of Academic Surgery, Royal Prince Alfred Hospital, University of Sydney, New South Wales, Australia.
Mark S CattralDepartment of Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Because of the value some patients place in remaining insulin-independent after pancreas transplantation, they may be reluctant to undergo graft pancreatectomy, even in the face of extreme complications, such as graft thrombosis and duodenal segment leak. Partly, for this reason, a variety of complex salvage techniques have been described to save the graft in such circumstances. We report a case of a series of extreme complications related to a leak from the duodenal segment after a simultaneous pancreas and kidney transplant. These included infected thrombosis of the inferior vena cava associated with a graft venous thrombosis and a retroperitoneal fistula. The patient retained graft function with insulin independence and repeatedly declined graft pancreatectomy against the advice of the transplant team. Conservative treatment with percutaneous drainage, antibiotics, and anticoagulation was eventually successful. This outcome is unique in our experience and may be instructive to teams caring for pancreas transplant recipients.

Identifiers

PMID27500244
PMCPMC4946502

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.