Evidence map›Paper›PMID 25421083›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2014

Anastomotic salvage after rectal cancer resection using the Turnbull-Cutait delayed anastomosis.

Julie Hallet, Alexandre Bouchard, Sébastien Drolet, Hélène Milot, Emilie Desrosiers, Aude Lebrun, Roger Charles Grégoire

Open access · bronzeAbstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
0.3field-weighted citation impact, top 38% 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, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Turnbull procedure-analysis of a cohort in the salvage setting.International journal of colorectal disease · 2026
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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

7 authors at 3 institutions in 1 country.

Julie HalletThe Division of General Surgery, University of Toronto, Toronto, Ont.
Alexandre BouchardThe Department of Surgery, Université Laval, Québec, Que., and the Department of Surgery, CHU de Québec (Hôpital Saint-François d'Assise), Québec, Que.
Sébastien DroletThe Department of Surgery, Université Laval, Québec, Que., and the Department of Surgery, CHU de Québec (Hôpital Saint-François d'Assise), Québec, Que.
Hélène MilotThe Department of Surgery, Université Laval, Québec, Que.
Emilie DesrosiersThe Department of Surgery, Université Laval, Québec, Que.
Aude LebrunThe Department of Surgery, Université Laval, Québec, Que.
Roger Charles GrégoireThe Department of Surgery, Université Laval, Québec, Que., and the Department of Surgery, CHU de Québec (Hôpital Saint-François d'Assise), Québec, Que.
Hôpital Saint-François d'Assise · CAUniversité Laval · CAToronto General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTurnbull-Cutait abdominoperineal pull-through followed by delayed coloanal anastomosis (DCA) was first described in 1961. Studies have described its use for challenging colorectal conditions. We reviewed our experience with Turnbull-Cutait DCA as a salvage procedure for complex failure of colorectal anastomosis.

methodsWe performed a retrospective cohort study from October 2010 to September 2011, with analysis of postoperative morbidity and mortality.

resultsSeven DCAs were performed for anastomotic complications (3 chronic leaks, 2 rectovaginal fistulas, 1 colovesical fistula, 1 colonic ischemia) following surgery for rectal cancer. Six patients had a diverting ileostomy constructed as part of previous treatment for anastomotic complications before the salvage procedure. No anastomotic leaks were observed. All procedures but 1 were completed successfully. One patient who underwent DCA subsequently required an abdominoperineal resection and a permanent colostomy for postoperative extensive colonic ischemia. No 30-day mortality occurred.

conclusionSalvage Turnbull-Cutait DCA appears to be a safe procedure and could be offered to patients with complex anastomotic complications. This procedure could be added to the surgeon's armamentarium as an alternative to the creation of a permanent stoma.

Indexed as

AgedAnastomosis, SurgicalColonDigestive System Surgical ProceduresEnterostomyFemaleHumansMaleMiddle AgedPostoperative ComplicationsRectal NeoplasmsRectumReoperationSalvage Therapy

Identifiers

PMID25421083
PMCPMC4245271
OpenAlexW2092298538

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.