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Ferrer Fàbrega, JoanaAuthorSánchez-Montes CAuthorMaurel JAuthorAraujo IkAuthorFerrer JAuthorSendino OAuthorCórdova HAuthorVaquero EcAuthorGonzález-Suárez BAuthorMartinez-Palli GAuthorGines AAuthorFernández-Esparrach GCorresponding Author

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Article

Endoscopic ultrasonography can avoid unnecessary laparotomies in patients with pancreatic adenocarcinoma and undetected peritoneal carcinomatosis.

Publicated to:Pancreatology. 17 (5): 858-864 - 2017-10-01 17(5), DOI: 10.1016/j.pan.2017.08.004

Authors: Alberghina, Nadia; Sanchez-Montes, Cristina; Tunon, Carlos; Maurel, Joan; Araujo, Isis K; Ferrer, Joana; Sendino, Oriol; Cordova, Henry; Vaquero, Eva C; Gonzalez-Suarez, Begona; Martinez-Palli, Graciela; Gines, Angels; Fernandez-Esparrach, Gloria

Affiliations

Univ Barcelona, Hosp Clin, Anesthesiol Dept, ICMDiM, Barcelona, Catalunya, Spain - Author
Univ Barcelona, Hosp Clin, Gastroenterol Dept, Endoscopy Unit,ICMDiM,IDIBAPS,CIBEREHD, Barcelona, Catalunya, Spain - Author
Univ Barcelona, Hosp Clin, Gastroenterol Dept, ICMDiM,IDIBAPS,CIBEREHD, Barcelona, Catalunya, Spain - Author
Univ Barcelona, Hosp Clin, ICMDiM, Surg Dept, Barcelona, Catalunya, Spain - Author
Univ Barcelona, Hosp Clin, Oncol Dept, Barcelona, Catalunya, Spain - Author
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Abstract

To assess the relationship between the presence of ascites detected by endoscopic ultrasonography (EUS) and peritoneal carcinomatosis (PC) in patients with pancreatic adenocarcinoma.Consecutive patients who underwent a EUS for preoperative staging of a pancreatic adenocarcinoma between 1998 and 2014 were retrospectively reviewed. The diagnosis of PC was confirmed by histopathology or peritoneal fluid cytology. The main outcome of the study was the relationship of ascites at EUS and PC in patients with pancreatic cancer. Secondarily, to evaluate the relationship between this finding and survival as well as the development of PC during follow-up.A total of 136 patients were included: 30 patients with local unresectable tumor or metastatic disease and 106 potentially-resectable candidates based on CT staging. EUS showed ascites in 27 (20%) patients, of whom 8 (29.6%) had PC. The sensitivity, specificity, PPV, NPV and accuracy of ascites by EUS in the detection of PC in this group of patients were 67%, 85%, 30%, 96% and 83%, respectively. Ascites detected by EUS was the only independent predictive factor of PC with an OR of 11 (CI 95%: 3-40). The detection of ascites by EUS was associated with a shorter survival (median survival time 7,3 months; range 0-60 vs 14.2 months; range 0-140) (p = 0.018) and earlier development of PC during follow-up (median 3.2 months, range 1.4-18.1 vs 12.7 months, range 5.4-54.8; p = 0.003).The finding of ascites at EUS in patients with pancreatic adenocarcinoma is highly associated with PC and a poor outcome.Copyright © 2017 IAP and EPC. Published by Elsevier B.V. All rights reserved.

Keywords

ascitesca-19-9 levelscancercarcinomatosisctcytologydiagnosiseuspancreatic cancerpancreaticoduodenectomypredicting resectabilitystaging laparoscopysurvivalAdultAgedAged, 80 and overAscitesCarcinomatosisClinical-practice guidelinesEndosonographyEusFemaleHumansLaparotomyMaleMiddle agedNeoplasm stagingPancreatic cancerPancreatic neoplasmsPeritoneal neoplasmsPreoperative careReproducibility of resultsRetrospective studiesSurvival

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Pancreatology due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2017, it was in position , thus managing to position itself as a Q2 (Segundo Cuartil), in the category Gastroenterology. Notably, the journal is positioned en el Cuartil Q3 for the agency WoS (JCR) in the category Gastroenterology & Hepatology.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 1.63, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jun 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-06-29, the following number of citations:

  • WoS: 5
  • Scopus: 6
  • Europe PMC: 3

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-29:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 16.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 14 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 0.5.
  • The number of mentions on the social network X (formerly Twitter): 1 (Altmetric).

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Alberghina N) and Last Author (Fernández Esparrach, Gloria).

the author responsible for correspondence tasks has been Fernández Esparrach, Gloria.