Evidence map›Paper›PMID 24549026›Full record

ArticleEuropean journal of clinical nutrition2014

Preoperative exclusive enteral nutrition reduces the postoperative septic complications of fistulizing Crohn's disease.

G Li, J Ren, G Wang, D Hu, G Gu, S Liu, H Ren, X Wu, J Li

Abstract read
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In one paragraph

Article in European journal of clinical nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 8 pooled it
4.2field-weighted citation impact, top 5% 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

46 citing papers in PubMed, 8 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Diet and inflammatory bowel disease: The Asian Working Group guidelines.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2019
    Guideline
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Article
  11. Review
  12. Review
  13. Article
  14. British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2023
    Article
  15. Article
  16. Dietary management of adults with IBD - the emerging role of dietary therapy.Nature reviews. Gastroenterology & hepatology · 2022
    Review
  17. Observational
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  19. Article
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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 at 3 institutions in 1 country.

G LiDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
J RenDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
G WangDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
D HuDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
G GuDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
S LiuDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
H RenDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
X WuDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
J LiDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Nanjing General Hospital of Nanjing Military Command · CNNanjing University · CNNanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesExclusive enteral nutrition (EEN) has been shown to be effective in the management of Crohn's disease (CD). However, few experiences have been reported regarding its role in postoperative intra-abdominal septic complications (IASCs) after bowel resections for enterocutaneous fistulas (ECFs). Our aim was to investigate the influence of preoperative 3-month EEN on the incidence of IASCs and to clarify the risk factors of IASCs in fistulizing CD. SUBJECTS/

methodsA retrospective study on 123 CD patients suffering from ECFs was conducted from February 2001 to April 2011. Fifty-five patients (44.7%) received preoperative 3-month EEN. The changes in serum albumin and C-reactive protein (CRP) were compared. Perioperative data were analyzed using logistic regression to identify the independent risk factors affecting the incidence of postoperative IASCs.

resultsPatients were similar in gender, age, fistula conditions and perioperative medications in the EEN and non-EEN groups. The EEN group had a significantly higher serum albumin level and lower CRP at operation, and suffered a lower risk of IASCs (3.6% vs 17.6%, P<0.05). Two years after operation when follow-up ended, the two groups had comparable cumulative risk of IASCs (P=0.109). A logistic regression analysis identified age at operation and preoperative EEN as independent risk factors of postoperative IASCs.

conclusionsPreoperative EEN reduced the risk of postoperative IASCs after operation for ECFs in CD. In addition, age at operation may be another factor of influence.

Indexed as

Enteral NutritionAdultBody Mass IndexC-Reactive ProteinCrohn DiseaseDigestive System Surgical ProceduresFemaleFollow-Up StudiesHumansIncidenceIntestinal FistulaLogistic ModelsMaleMiddle AgedPostoperative ComplicationsPreoperative CareC-Reactive ProteinSerum Albumin

Identifiers

PMID24549026
OpenAlexW2087174508

What OpenQuestion holds

Textmetadata
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Registered trials

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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.