Evidence map›Paper›PMID 18283511›Full record

ArticleWorld journal of surgery2008

Standardized algorithms for management of anastomotic leaks and related abdominal and pelvic abscesses after colorectal surgery.

R Phitayakorn, C P Delaney, H L Reynolds, B J Champagne, A G Heriot, P Neary, A J Senagore, International Anastomotic Leak Study Group

Registry-linked trialAbstract read
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In one paragraph

Article in World journal of surgery, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07099820 (Role of Indexed Oxygen Delivery in Anastomotic Insufficiencies in Elective Laparoscopic Colorectal Resections for Cancer), which is not on this map. Cited by 71 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 5 pooled it
–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.

NCT07099820 completednot on this mapstarted 2020, after this paper: background citation

Role of Indexed Oxygen Delivery in Anastomotic Insufficiencies in Elective Laparoscopic Colorectal Resections for Cancer: a Prospective Observational Cohort Study

Typeobservational_patient_registrySponsorSaint Camillus International University of Health SciencesRan2020 to 2022Enrolled100ConditionsAnastomosis, Complications, Anastomosis, Surgical, Anastomosis, Leaking
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. The use of Endo-SPONGETechniques in coloproctology · 2020
    Pooled it
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  6. Short-term outcomes following laparoscopic resection for colon cancer.International journal of colorectal disease · 2011
    Trial
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11 more citing papers are in PubMed but not listed here.

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

8 authors.

R PhitayakornDivision of Colorectal Surgery, Case Medical Center, 11100 Euclid Avenue, Cleveland, Ohio 44106-5047, USA.
C P Delaney
H L Reynolds
B J Champagne
A G Heriot
P Neary
A J Senagore
International Anastomotic Leak Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe risk factors and incidence of anastomotic leak following colorectal surgery are well reported in the literature. However, the management of the multiple clinical scenarios that may be encountered has not been standardized.

methodsThe medical literature from 1973 to 2007 was reviewed using PubMed for papers relating to anastomotic leaks and abdominal abscess, with a specific emphasis on predisposing factors, prevention strategies, and treatment approaches. A six-round modified Delphi research method was utilized to find consensus among a group of expert colorectal surgeons and interventional radiologists regarding standardized management algorithms for anastomotic leaks.

resultsManagement scenarios were divided into those for intraperitoneal anastomoses, extraperitoneal (low pelvic) anastomoses, and anastomoses with proximal diverting stomas. Management options were then based on the clinical presentation and radiographic findings and organized into three interconnected algorithms.

conclusionsThis process was a useful first step toward establishing guidelines for the management of anastomotic leak.

Indexed as

AlgorithmsAbdominal AbscessAnastomosis, SurgicalColectomyColonHumansPelvisPeritonitisRectumSurgical Wound Dehiscence

Identifiers

What OpenQuestion holds

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Read underepoch 390

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.