Evidence map›Paper›PMID 26700099›Full record

ArticleInternational journal of colorectal disease2016

Self-expandable metallic stent as a bridge to elective surgery versus emergency surgery for acute malignant colorectal obstruction.

Zhi-Xiong Li, Xiao-Hua Wu, Hai-yan Wu, Wen-Ju Chang, Xiu-juan Chang, Tuo Yi, Qiang Shi, Jing-Wen Chen, Qing-Yang Feng, De-Xiang Zhu and 3 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International journal of colorectal disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 37% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

13 authors at 6 institutions in 1 country.

Zhi-Xiong LiDepartment of Gastrointestinal Surgery, The First Hospital of Putian, Fu Jian, 351100, China.
Xiao-Hua WuDepartment of General Surgery, The First Hospital of Nan Ping, Fu Jian, 353000, China.
Hai-yan WuDepartment of Pathology, The First Hospital of Putian, Fu Jian, 351100, China.
Wen-Ju ChangDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Xiu-juan ChangCenter for Therapeutic Research of Hepatocarcinoma, Beijing 302 Hospital, Beijing, 100000, China.
Tuo YiDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Qiang ShiDepartment of Endoscopic Center, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Jing-Wen ChenDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Qing-Yang FengDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
De-Xiang ZhuDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Ye WeiDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China. wei.ye@zs-hospital.sh.cn.
Yun-Shi ZhongDepartment of Endoscopic Center, Zhongshan Hospital, Fudan University, Shanghai, 200032, China. zhong.yunshi@zs-hospital.sh.cn.
Jian-Min XuDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Zhongshan Hospital · CNFudan University · CNPutian University · CN302 Military Hospital of China · CNSun Yat-sen University · CNThe First Affiliated Hospital, Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroudThe efficacy and safety of self-expandable metallic stents (SEMSs) as a bridge for patients with acute malignant colorectal obstructions (AMCOs) are still controversial. We conducted this study to evaluate the outcomes of patients with AMCOs treated by different strategies.

methodsFrom January 2010 to March 2014, a total of 171 patients with AMCOs from Zhongshan Hospital were retrospectively enrolled in this study. One hundred twenty patients successfully received stent placement followed by one-stage laparoscopic or open resection in the stent group, and 51 patients received emergency operations in the emergency group.

resultsThe operation duration and postoperative hospital stay were significantly shorter in the stent group (114.51 ± 28.65 vs. 160.39 ± 58.94 min, P < 0.001; 8.00 ± 3.97 vs. 12.59 ± 9.07 days, P = 0.001). The stent group also had significantly reduced intraoperative blood loss and the incidence of postoperative complications compared with the emergency group (61.00 ± 43.70 vs. 121.18 ± 85.90 ml, P < 0.001; 16.7 vs. 37.3%, P = 0.003). Kaplan-Meier survival curves showed that the median survival time in the stent group was significantly longer than that in the emergency group (53 vs. 41 months, P = 0.034). In subgroup analysis of stent group, the stent laparoscopy group had significantly decreased postoperative complications (P = 0.025), and similar long-term survival (P = 0.81).

conclusionsStent placement as a bridge to surgery is a safe and feasible procedure and provides significant advantages in terms of short-term outcomes and favorable prognoses for patients with AMCOs. Laparoscopic surgery could be considered as an optimal treatment after stent placement.

Indexed as

Elective Surgical ProceduresEmergenciesSelf Expandable Metallic StentsAdultAgedColorectal NeoplasmsFemaleHumansIntestinal ObstructionKaplan-Meier EstimateLaparoscopyMaleMiddle AgedPostoperative ComplicationsTreatment OutcomeYoung AdultColorectal cancerEndoscopyIntestinal obstructionPrognosisSelf-expandable metal stentSurgery

Identifiers

PMID26700099
OpenAlexW2198682551

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.