Evidence map›Paper›PMID 26385781›Full record

ArticleSurgical endoscopy2016

Intestinal microbiota and anastomotic leakage of stapled colorectal anastomoses: a pilot study.

Jasper B van Praagh, Marcus C de Goffau, Ilsalien S Bakker, Hermie J M Harmsen, Peter Olinga, Klaas Havenga

Registry-linked trialOpen access · hybridAbstract read
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. It is linked to trial NCT07416760 (Analysis of the Composition of the Intestinal Microbiota and Its Evolution in Patients Post-intestinal Anastomosis), which is not on this map. Cited by 46 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 7 pooled it
1.8field-weighted citation impact, top 15% 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.

NCT07416760 recruitingnot on this mapstarted 2026, after this paper: background citation

Analysis of the Composition of the Intestinal Microbiota and Its Evolution in Patients Post-intestinal Anastomosis

TypeobservationalSponsorInstituto de Investigación Sanitaria de la Fundación Jiménez DíazRan2026 to 2026Enrolled30ConditionsAbdominal SurgeryArmsNot applicable- observational study
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 7 syntheses or guidelines pooled it, 73 citations in OpenAlex.

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  20. What Is the Microbiome? A Description of a Social Network.Clinics in colon and rectal surgery · 2023
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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

6 authors at 2 institutions in 1 country.

Jasper B van PraaghDepartment of Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, PO Box 30.001, 9700 RB, Groningen, The Netherlands. j.b.van.praagh@umcg.nl.
Marcus C de GoffauDepartment of Medical Microbiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Ilsalien S BakkerDepartment of Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, PO Box 30.001, 9700 RB, Groningen, The Netherlands.
Hermie J M HarmsenDepartment of Medical Microbiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Peter OlingaPharmaceutical Technology and Biopharmacy, Department of Pharmacy, University of Groningen, Groningen, The Netherlands.
Klaas HavengaDepartment of Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, PO Box 30.001, 9700 RB, Groningen, The Netherlands.
University of Groningen · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnastomotic leakage (AL) after colorectal surgery is a severe complication, resulting in morbidity, reinterventions, prolonged hospital stay and, in some cases, death. Some technical and patient-related aetiological factors of AL are well established. In many cases, however, none of these factors seem to explain the occurrence of AL. Recent studies suggest that the intestinal microbiome plays a role in wound healing, diabetes and Crohn's disease. The aim of this study was to compare the intestinal microbiota of patients who developed AL with matched patients with healed colorectal anastomoses.

methodsWe investigated the microbiome in the doughnuts collected from 16 patients participating in the C-seal trial. We selected eight patients who developed AL requiring reintervention and eight matched controls without AL. We analysed the bacterial 16S rDNA of both groups with MiSeq sequencing.

resultsThe abundance of Lachnospiraceae is statistically higher (P = 0.001) in patient group who did develop AL, while microbial diversity levels were higher in the group who did not develop AL (P = 0.037). Body mass index (BMI) was also positively associated with the abundance of the Lachnospiraceae family (P = 0.022).

conclusionA correlation between the bacterial family Lachnospiraceae, low microbial diversity and anastomotic leakage, possibly in association with the BMI, was found. The relative abundance of the Lachnospiraceae family is possibly explained by the higher abundance of mucin-degrading Ruminococci within that family in AL cases (P = 0.011) as is similarly the case in IBD.

Indexed as

Gastrointestinal MicrobiomeAgedAnastomotic LeakBacteriaCase-Control StudiesColonColorectal SurgeryFemaleHumansIntestinal DiseasesMaleMiddle AgedPilot ProjectsPostoperative ComplicationsRectumAnastomotic leakageColorectal surgeryComplicationsDNA sequencingIntestinal microbiomeStapled anastomosis

Identifiers

PMID26385781
PMCPMC4887536
OpenAlexW1724628453

What OpenQuestion holds

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Registered trials

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.