Evidence map›Paper›PMID 26867939›Full record

ReviewLangenbeck's archives of surgery2016

Classification, prevention and management of entero-atmospheric fistula: a state-of-the-art review.

Salomone Di Saverio, Antonio Tarasconi, Dominik A Walczak, Roberto Cirocchi, Matteo Mandrioli, Arianna Birindelli, Gregorio Tugnoli

Abstract readReview
PubMed Publisher
In one paragraph

Review in Langenbeck's archives of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. THE ROLE OF FISTULOCLYSIS IN THE TREATMENT OF PATIENTS WITH ENTEROATMOSPHERIC FISTULAS.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2021
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. The open abdomen in trauma and non-trauma patients: WSES guidelines.World journal of emergency surgery : WJES · 2018
    Review
  20. 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

7 authors at 3 institutions in 2 countries.

Salomone Di SaverioEmergency Surgery and Trauma Surgery Unit, Maggiore Hospital Regional Emergency Surgery and Trauma Center, Bologna Local Health District, AUSL, Bologna, Italy. salo75@inwind.it.
Antonio TarasconiEmergency Surgery Department, Maggiore Hospital of Parma, University of Parma, Parma, Italy.
Dominik A WalczakDepartment of General Surgery, John Paul II Memorial Hospital, Belchatow, Poland.
Roberto CirocchiGeneral and Emergency Surgery Department, Terni Hospital, University of Perugia, Perugia, Italy.
Matteo MandrioliEmergency Surgery and Trauma Surgery Unit, Maggiore Hospital Regional Emergency Surgery and Trauma Center, Bologna Local Health District, AUSL, Bologna, Italy.
Arianna BirindelliEmergency Surgery and Trauma Surgery Unit, Maggiore Hospital Regional Emergency Surgery and Trauma Center, Bologna Local Health District, AUSL, Bologna, Italy.
Gregorio TugnoliEmergency Surgery and Trauma Surgery Unit, Maggiore Hospital Regional Emergency Surgery and Trauma Center, Bologna Local Health District, AUSL, Bologna, Italy.
John Paul II Hospital · PLUniversity of Parma · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEntero-atmospheric fistula (EAF) is an enteric fistula occurring in the setting of an open abdomen, thus creating a communication between the GI tract and the external atmosphere. Management and nursing of patients suffering EAF carries several challenges, and prevention of EAF should be the first and best treatment option. PURPOSE: Here, we present a novel modified classification of EAF and review the current state of the art in its prevention and management including nutritional issues and feeding strategies. We also provide an overview on surgical management principles, highlighting several surgical techniques for dealing with EAF that have been reported in the literature throughout the years.

conclusionsThe treatment strategy for EAF should be multidisciplinary and multifaceted. Surgical treatment is most often multistep and should be tailored to the single patient, based on the type and characteristics of the EAF, following its correct identification and classification. The specific experience of surgeons and nursing staff in the management of EAF could be enhanced, applying distinct simulation-based ex vivo training models.

Indexed as

Abdominal Wound Closure TechniquesNegative-Pressure Wound TherapyHumansIntestinal FistulaLaparotomyPostoperative ComplicationsAbdominal sepsisAcute care surgeryCritical careEAF management algorithmEntero-atmospheric fistulaFistula preventionFrozen abdomenNegative pressure wound therapy (NPWT)Open abdomen complicationsReviewSmall-bowel fistulaVacuum-assisted closure

Identifiers

PMID26867939
OpenAlexW2270863399

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.