Trial reportSurgical endoscopy2015
Minimal invasive surgery: NOSE and NOTES in ulcerative colitis.
Trial report in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Transanal ileal pouch-anal anastomosis: A systematic review and meta-analysis of technical approaches and clinical outcomes.Langenbeck's archives of surgery · 2024Pooled it
- Functional outcomes after transanal ileal pouch-anal anastomosis for ulcerative colitis: narrative review of the current literature.Techniques in coloproctology · 2023Pooled it
- Transanal ileal pouch anal anastomosis for ulcerative colitis in children and adults: a systematic review and meta-analysis.Pediatric surgery international · 2022Pooled it
- Transanal minimally invasive proctectomy for ulcerative colitis is beneficial in terms of short-term outcomes and defecation function.Annals of gastroenterological surgery · 2024Article
- Redo IPAA for long rectal cuff syndrome after ileoanal pouch for inflammatory bowel disease.Techniques in coloproctology · 2024Article
- Extraction Site in Minimally Invasive Colorectal Surgery.Clinics in colon and rectal surgery · 2023Review
- Transanal proctocolectomy and ileal pouch-anal anastomosis (TaIPAA) for ulcerative colitis: medium term functional outcomes in a single centre.BMC surgery · 2021Article
- [Minimally invasive and robot-assisted surgery for chronic inflammatory bowel disease : Current status and evidence situation].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Review
- Future Directions.Clinics in colon and rectal surgery · 2020Review
- Ileal-anal pouches: A review of its history, indications, and complications.World journal of gastroenterology · 2019Review
- The current state of the transanal approach to the ileal pouch-anal anastomosis.Surgical endoscopy · 2019Review
- Recent trends (2016-2017) in the treatment of inflammatory bowel disease.Annals of gastroenterological surgery · 2018Review
- Indications for a transanal approach in complicated inflammatory bowel disease.Techniques in coloproctology · 2018Article
- St.Gallen consensus on safe implementation of transanal total mesorectal excision.Surgical endoscopy · 2018Article
- Transanal Hartmann's colostomy reversal assisted by laparoscopy: outcomes of the first 10 patients.Surgical endoscopy · 2017Article
- [The technique of restorative proctocolectomy with ileal J‑pouch : Standards and controversies].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Review
- An experimental study in six fresh human cadavers using a novel approach to avoid abdominal wall incisions in total colectomy: totally transanal laparoendoscopic single-site pull-through colectomy with J-pouch creation.Surgical endoscopy · 2016Article
- Minimally invasive surgery for inflammatory bowel disease: Review of current developments and future perspectives.World journal of gastrointestinal pharmacology and therapeutics · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn patients with ulcerative colitis (UC), laparoscopic pelvic dissection for IPAA is not always straightforward: often, a hand-assistance incision is used to complete the proctectomy, lengthening operative times. Hybrid NOSE and NOTES are emerging as an alternative approach to conventional laparoscopy. We believe that UC patients could benefit from this new hybrid approach in three ways: by easing the proctectomy as performed down to up, avoiding additional incisions and decreasing surgical times. We present the short-term outcomes of our series.
methodsAll patients with UC who required IPAA were enrolled in a single-arm prospective study (July 2011 to March 2014). A three-step procedure was performed. The first step: laparoscopic colectomy (with transanal removal of the colon) and temporary ileostomy. The second step: "down-to-up" proctectomy (with transanal removal of the rectum) and IPAA with a covering ileostomy. We combined simultaneously transanal and laparoscopic approach. The third step: ileostomy closure. Functional outcomes were assessed 3 months after third step.
resultsEighteen patients were enrolled. Two patients are waiting to complete the second stage, and 16 underwent all surgical steps. Twelve have been evaluated with functional scores. For the first step, the mean operative time was 162.2 min (SD 40.5) and 170 min (SD 50.1) for the second one. The median hospital stay was 6 days (IQR 5-14.75) for the first step and 5.5 (IQR 5-9.75) for the second one. No major complications occurred. Twenty-four-hour defecation frequency was 5.5 per day (SD 1.7), 0.5 per night. Seventy-five percentage of patients may retain stools for more than 30 min; the mean value of Oresland score was 4.7 and Wexner score 1.4.
conclusionsThis is a safe and feasible technique to treat UC patients with good short-term outcomes. Long-term outcomes and controlled trials are needed.
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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.