Evidence map›Paper›PMID 27324516›Full record

Trial reportSurgery today2017

Impact of elemental diet on early recovery after laparoscopic colectomy: findings of a randomized controlled trial.

Toshiaki Shichinohe, Takeshi Sasaki, Shuji Kitashiro, Takayuki Morita, Koichi Ono, Naoto Senmaru, Junichi Ikeda, Tetsufumi Kojima, Noriaki Kyogoku, Hidehisa Yamada and 11 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgery today, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 27% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  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

21 authors at 9 institutions in 1 country.

Toshiaki ShichinoheDepartment of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, North-15, West-7, Kita-ku, Sapporo, Hokkaido, Japan. shichino@med.hokudai.ac.jp.
Takeshi SasakiDepartment of Surgery, Sapporo Tonan Hospital KKR Medical Center, North-1, West-6, Chuou-ku, Sapporo, Hokkaido, Japan.
Shuji KitashiroDepartment of Surgery, Sapporo Tonan Hospital KKR Medical Center, North-1, West-6, Chuou-ku, Sapporo, Hokkaido, Japan.
Takayuki MoritaDepartment of Surgery, Hokkaido Gastroenterology Hospital, Honcho 1-1, Higashi-ku, Sapporo, Hokkaido, Japan.
Koichi OnoDepartment of Surgery, Obihiro-Kosei General Hospital, West-6, South-8, Obihiro, Hokkaido, Japan.
Naoto SenmaruDepartment of Surgery, Steel Memorial Muroran Hospital, 1-45 Chiribetsu-cho, Muroran, Hokkaido, Japan.
Junichi IkedaDepartment of Surgery, Japanese Red Cross Kitami Hospital, North-6, East-2, Kitami, Hokkaido, Japan.
Tetsufumi KojimaDepartment of Surgery, Hakodate Central General Hospital, 33-2, Honcho, Hakodate, Hokkaido, Japan.
Noriaki KyogokuDepartment of Surgery, Oji General Hospital, 3-4-8, Wakakusa-cho, Tomakomai, Hokkaido, Japan.
Hidehisa YamadaDepartment of Surgery, NTT East Sapporo Hospital, South-1, West-15, Chuou-ku, Sapporo, Hokkaido, Japan.
Nagato SatoDepartment of Surgery, Kushiro City General Hospital, 1-12 Shunkodai, Kushiro, Hokkaido, Japan.
Kentaro KatoDepartment of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, North-15, West-7, Kita-ku, Sapporo, Hokkaido, Japan.
Soichi MurakamiDepartment of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, North-15, West-7, Kita-ku, Sapporo, Hokkaido, Japan.
Yuma EbiharaDepartment of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, North-15, West-7, Kita-ku, Sapporo, Hokkaido, Japan.
Yo KurashimaDepartment of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, North-15, West-7, Kita-ku, Sapporo, Hokkaido, Japan.
Eiji TamotoDepartment of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, North-15, West-7, Kita-ku, Sapporo, Hokkaido, Japan.
Takehiro NojiDepartment of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, North-15, West-7, Kita-ku, Sapporo, Hokkaido, Japan.
Toru NakamuraDepartment of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, North-15, West-7, Kita-ku, Sapporo, Hokkaido, Japan.
Keisuke OkamuraDepartment of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, North-15, West-7, Kita-ku, Sapporo, Hokkaido, Japan.
Takahiro TsuchikawaDepartment of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, North-15, West-7, Kita-ku, Sapporo, Hokkaido, Japan.
Satoshi HiranoDepartment of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, North-15, West-7, Kita-ku, Sapporo, Hokkaido, Japan.
Hokkaido University · JPHokkaido hospital · JPHakodate Central General Hospital · JPObihiro Kosei General Hospital · JPTonan Hospital · JPJapanese Red Cross Hokkaido College of Nursing · JPKushiro City General Hospital · JPMuroran Institute of Technology · JPOji General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAn amino acid-containing elemental diet (ED) does not require digestion for nutritional absorption, making it a good option for patients with gastrointestinal malabsorption. We conducted a randomized trial to confirm that perioperative ED enhanced the recovery of patients undergoing laparoscopic colectomy.

methodsPatients in the intervention arm received commercially available ED from the day prior to surgery until postoperative day (POD) 3, whereas patients in the control group received a conventional perioperative diet program. To verify the endpoints, "estimated minimum length of stay in hospital after surgery" (emLOS) was defined as the number of days necessary to reach all the five criteria; namely, "sufficient oral intake", "sufficient pain control", "withdrawal of intravenous alimentation", "no abnormal findings in routine examinations", and "no rise in fever".

resultsA total of 102 patients were randomized, 94 of whom were analyzed (ED 45, control 49). There was no morbidity or mortality. Shorter emLOS (POD 4 vs. POD 7; p = 0.018), earlier resumption of sufficient oral intake (POD 3 vs. POD 4; p = 0.034) and faster recovery to defecation (2.2 vs. 3.1 days; p = 0.005) were observed in the ED group vs. the control group.

conclusionsThe perioperative ingestion of ED by patients undergoing laparoscopic colectomy is safe and can reduce the postoperative hospital stay by supporting the acceleration of oral intake.

Indexed as

Food, FormulatedAgedAmino AcidsColectomyFemaleHumansLaparoscopyLength of StayMalabsorption SyndromesMaleMiddle AgedPostoperative ComplicationsTime FactorsTreatment OutcomeAmino AcidsElemental dietEstimated minimum length of stay in hospital after surgeryLaparoscopic colectomy

Identifiers

PMID27324516
OpenAlexW2468802855

What OpenQuestion holds

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Registered trials

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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.