Evidence map›Paper›PMID 26017913›Full record

ArticleSurgical endoscopy2016

Endoscopic placement of self-expandable metallic stents for rectovaginal fistula after colorectal resection: a comparison with proximal diverting ileostomy alone.

Antonietta Lamazza, Enrico Fiori, Antonio V Sterpetti, Alberto Schillaci, Alessandro De Cesare, Emanuele Lezoche

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Treatment of Rectovaginal Fistula.Journal of the anus, rectum and colon · 2023
    Review
  6. Minimally invasive endoscopic repair of rectovaginal fistula.World journal of gastrointestinal surgery · 2022
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Endoscopic Full-Thickness Defects and Closure Techniques.Current treatment options in gastroenterology · 2018
    Review
  13. Article
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

6 authors at 1 institution in 1 country.

Antonietta LamazzaPoliclinico Umberto I, University of Rome La Sapienza, Viale del Policlinico, 00167, Rome, Italy.
Enrico FioriPoliclinico Umberto I, University of Rome La Sapienza, Viale del Policlinico, 00167, Rome, Italy.
Antonio V SterpettiPoliclinico Umberto I, University of Rome La Sapienza, Viale del Policlinico, 00167, Rome, Italy. antonio.sterpetti@uniroma1.it.
Alberto SchillaciPoliclinico Umberto I, University of Rome La Sapienza, Viale del Policlinico, 00167, Rome, Italy.
Alessandro De CesarePoliclinico Umberto I, University of Rome La Sapienza, Viale del Policlinico, 00167, Rome, Italy.
Emanuele LezochePoliclinico Umberto I, University of Rome La Sapienza, Viale del Policlinico, 00167, Rome, Italy.
Policlinico Umberto I · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-expandable metal stents can be used to treat patients with rectovaginal fistula after colorectal resection for cancer.

methodsFifteen patients with rectovaginal fistula, after colorectal resection for cancer, were treated with endoscopic placement of a self-expandable metal stent. In four patients, a diverting proximal stoma had been performed elsewhere. Mean age was 58 years. All patients had preoperative radiotherapy. In ten patients, the stent was placed as initial form of treatment. Four patients were referred after multiple failed operations. The control group consisted of ten patients who had rectovaginal fistula and underwent proximal diverting ileostomy and percutaneous drainage of the surrounding abscess

resultsOne patient was not able to tolerate the stent, which was removed. At a mean follow-up of 22 months, the rectovaginal fistula healed in 12 patients. In the remaining two patients, the fistula has reduced significantly in size to allow a successful flap transposition. The fistula healed only in five out of the ten patients who had only a proximal ileostomy.

conclusionsEndoscopic placement of self-expandable metal stents represents a valid adjunctive to treat patients with rectovaginal fistula, after colorectal resection for cancer.

Indexed as

ColectomySelf Expandable Metallic StentsAdultAgedColorectal NeoplasmsEndoscopyFemaleHumansIleostomyMiddle AgedPostoperative ComplicationsProspective StudiesRectovaginal FistulaRetrospective StudiesCancerColorectalInstrumentsTechnical

Identifiers

PMID26017913
OpenAlexW2124937022

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.