Evidence map›Paper›PMID 25319796›Full record

ArticlePediatric surgery international2014

A novel double-balloon catheter device for fully endoluminal intestinal lengthening.

Farokh R Demehri, Philip M Wong, Jennifer J Freeman, Yumi Fukatsu, Daniel H Teitelbaum

Abstract read
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In one paragraph

Article in Pediatric surgery international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 25 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Farokh R DemehriSection of Pediatric Surgery, Department of Surgery, University of Michigan, Mott Children's Hospital F3970, Ann Arbor, MI, 48109-0245, USA.
Philip M Wong
Jennifer J Freeman
Yumi Fukatsu
Daniel H Teitelbaum
University of Michigan–Ann Arbor · USC. S. Mott Children's Hospital · USMC3 (United States) · US

Funding

UNIVERSITY OF MICHIGAN PEDIATRIC DEVICE CONSORTIUM (M-PED)P50FD003787 · FDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GEIGER, JAMES D · 2009 to 2015
$6.0M
A Novel Catheter Enterogenesis Device to Treat Short Bowel SyndromeR44DK085765 · NIDDK · MC3, INC. · PI TEITELBAUM, DANIEL H, WONG, PHILIP M · 2011 to 2012
$967k
FDA HHS 2-P50-FD-003787-03NIDDK NIH HHS 2R44DK085765-02
6 · The paper itself

Abstract

objectiveDistraction enterogenesis may provide a novel therapy for short bowel syndrome (SBS). Previously described methods have relied upon isolated intestinal segments or transmural fixation. Our objective was to develop a novel, fully endoluminal device, permitting placement and removal through an enteral stoma or orifice.

methodsA flexible device was designed consisting of two latex balloons mounted on coaxial catheters. The inner catheter allowed longitudinal force transmission from an external spring. Yorkshire pigs underwent jejunal Roux limb creation with device placement via jejunostomy. Balloons were inflated to 52 mmHg without significant reduction in bowel perfusion as measured by laser Doppler. The device was explanted after 7 days.

resultsDistracted bowel achieved an increase in length of 26.1 ± 6.1 % vs nondistracted fed bowel. As the device resided in unfed bowel, a 66.7 ± 14.5% increase vs unfed bowel was noted. These corresponded to a gain of 6.3 ± 2.3 cm (0.9 ± 0.3 cm/day) and 12.9 ± 7.6 cm (1.8 ± 1.1 cm/day), respectively. Attachment sites demonstrated occasional epithelial sloughing with no balloon-associated perforation.

conclusionA novel double-balloon catheter device allows for fully endoluminal distraction enterogenesis. This approach may allow development of clinically applicable technology for the treatment of patients with SBS.

Indexed as

CathetersTissue Expansion DevicesAnimalsDisease Models, AnimalEquipment DesignFemaleJejunumShort Bowel SyndromeSwineTissue Expansion

Identifiers

PMID25319796
OpenAlexW2082055798

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.