SynthesisInternational journal of colorectal disease2013
Systematic review on the value of CT scanning in the diagnosis of anastomotic leakage after colorectal surgery.
Synthesis in International journal of colorectal disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03148054 (Computed Tomography With Rectal Contrast and Early Endoscopy for the Detection of Anastomotic Leaks After Left Sided Colorectal Resection. A Single Center, Prospective Trial.), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
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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.
Computed Tomography With Rectal Contrast and Early Endoscopy for the Detection of Anastomotic Leaks After Left Sided Colorectal Resection. A Single Center, Prospective Trial.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Matrix metalloproteinase-9 in relation to patients with complications after colorectal surgery: a systematic review.International journal of colorectal disease · 2021Pooled it
- Prophylactic anastomotic drainage for colorectal surgery.The Cochrane database of systematic reviews · 2004Pooled it
- Early postoperative endoscopic evaluation of rectal anastomoses: a prospective cross-sectional study.Surgical endoscopy · 2022Trial
- Early complication detection after colorectal surgery (CONDOR): study protocol for a prospective clinical diagnostic study.International journal of colorectal disease · 2016Trial
- Early Post-Operative Diagnosis of Anastomotic Leak by Local Electrophysiological Parameters: Multicenter Pilot Study.Diagnostics (Basel, Switzerland) · 2026Article
- Open versus laparoscopic right colectomy: does the initial approach impact on management and outcomein anastomotic leakage? A multicenter cohort study.Updates in surgery · 2025Observational
- Diagnostic value of CT scan findings for anastomotic leakage after low anterior resection without ileostomy in rectal cancer.Scientific reports · 2025Article
- Invited Commentary: Management of Low Colorectal/Coloanal Anastomotic Leak: Results of a French National Inter-Groups Practice Survey.World journal of surgery · 2025Article
- Unplanned intensive care unit admission after elective colon cancer resection: population-based registry study.BJS open · 2025Article
- CT scan for early diagnosis of anastomotic leak after colorectal surgery: is rectal contrast useful?Techniques in coloproctology · 2023Article
- Endoscopic management of anastomotic leakage after colorectal cancer surgery in a Moroccan center: A case series and literature review.SAGE open medical case reports · 2023Article
- MRI diagnose post-operative anastomotic leak in patients with rectal cancer: preliminary experience.BMC surgery · 2022Article
- Development of a warning score for early detection of colorectal anastomotic leakage: Hype or hope?World journal of gastrointestinal surgery · 2022Article
- Treatment Modalities for Anastomotic Leakage in Rectal Cancer Surgery.Clinics in colon and rectal surgery · 2021Review
- The importance of rectal contrast in CT assessment to detect anastomotic leakage after colorectal surgery.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021Article
- Computed tomography in suspected anastomotic leakage after colorectal surgery: evaluating mortality rates after false-negative imaging.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Consensus on the definition of colorectal anastomotic leakage: A modified Delphi study.World journal of gastroenterology · 2020Article
- Serum C-reactive protein is a useful marker to exclude anastomotic leakage after colorectal surgery.Scientific reports · 2020Article
- Management of anastomotic leakage after rectal surgery: a review article.Journal of gastrointestinal oncology · 2019Review
- Transanal Tube Drainage as a Conservative Treatment for Anastomotic Leakage Following a Rectal Resection.Annals of coloproctology · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTimely diagnosis of anastomotic leakage after colorectal surgery and adequate treatment is important to reduce morbidity and mortality. Abdominal computed tomography (CT) scanning is the diagnostic tool of preference, but its value may be questionable in the early postoperative period. The accuracy of CT scanning for the detection of anastomotic leakage and its role in timing of intervention was evaluated.
methodsA systematic literature search was performed. Relevant publications were identified from four electronic databases between 1990 and 2011. Inclusion criteria were human studies, studies published in English or Dutch, colorectal surgery with primary anastomosis, and abdominal CT scan with reported outcome for the detection of anastomotic leakage. Exclusion criteria were cohort of fewer than five patients, other gastrointestinal surgery, no anastomosis, and radiological imaging other than CT.
resultsEight studies, including 221 abdominal CT scans, fulfilled the inclusion criteria. Overall, the methodological quality of the studies was poor. The overall sensitivity of CT scanning to diagnose leakage was 0.68 (95 % confidence interval 0.59-0.75) for colonic resection. Data on the sequelae of false-negative CT scanning was not available.
conclusionThere is limited good-quality evidence to determine the value of CT scans in the detection of anastomotic leakage. To prevent delay in diagnosis and appropriate treatment of anastomotic leakage, the relatively low sensitivity of CT scanning must be taken into account.
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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.