Evidence map›Paper›PMID 10486367›Full record

ArticleGut1999

Intestinal transplantation in children with chronic intestinal pseudo-obstruction.

L Sigurdsson, J Reyes, S A Kocoshis, G Mazariegos, K M Abu-Elmagd, J Bueno, C Di Lorenzo

Open access · bronzeAbstract read
In one paragraph

Article in Gut, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% of its field
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Review
  5. Review
  6. Review
  7. Assessment and outcome of pediatric intestinal pseudo-obstruction: A tertiary-care-center experience from Turkey.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2019
    Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Chronic idiopathic intestinal pseudo-obstruction treated by near total small bowel resection: a 20-year experience.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2010
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Intestinal transplantation.Indian journal of pediatrics · 2003
    Review
  18. Small bowel review: Normal physiology, part 2.Digestive diseases and sciences · 2003
    Review
  19. Article
  20. Chronic vomiting in children: new insights into diagnosis.Current gastroenterology reports · 2001
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

L SigurdssonDepartment of Paediatric Gastroenterology, Children's Hospital of Pittsburgh, 3705 Fifth Avenue, Pittsburgh, PA 15213-2583, USA.
J Reyes
S A Kocoshis
G Mazariegos
K M Abu-Elmagd
J Bueno
C Di Lorenzo
University of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren with chronic intestinal pseudo-obstruction (CIPO) often require total parenteral nutrition (TPN) which puts them at risk of liver failure and recurrent line infections. Intestinal transplantation has become a therapeutic option for TPN dependent children with intestinal failure who are failing management with TPN.

aimsTo investigate the outcome of children with CIPO referred for intestinal transplantation.

methodsA retrospective review was carried out of records and diagnostic studies from 27 patients with CIPO referred for intestinal transplantation.

resultsFive children were not listed for transplantation: two because of parental decision, two because of suspicion of Munchausen syndrome by proxy, and one because he tolerated enteral nutrition. Six are still TPN dependent and awaiting transplantation. Eight children died awaiting transplantation. Eight children underwent transplantation. Three died (two months, seven months, and four years after transplant). Five children are alive with a median follow up of 2.6 years (range two months to six years). All transplanted children were able to tolerate full enteral feedings. The postoperative course was complicated by dumping syndrome, Munchausen syndrome by proxy, narcotic withdrawal, and uncovering of achalasia. Conclusion-Intestinal transplantation may be a life saving procedure in children with CIPO. Early referral and thorough pretransplant evaluation are keys to successful transplantation.

Indexed as

AdolescentChildChild, PreschoolChronic DiseaseFemaleFollow-Up StudiesHumansInfantIntestinal Pseudo-ObstructionIntestinesMaleParenteral Nutrition, TotalQuality of LifeRetrospective StudiesSurvival RateTreatment Outcome

Identifiers

PMID10486367
PMCPMC1727677
OpenAlexW2163245953

What OpenQuestion 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 OpenQuestion graph.