Evidence map›Paper›PMID 27752970›Full record

ArticleLa Radiologia medica2017

Non-healing post-surgical fistulae: treatment with image-guided percutaneous injection of cyanoacrylic glue.

Giovanni Mauri, Lorenzo C Pescatori, Chiara Mattiuz, Dario Poretti, Vittorio Pedicini, Fabio Melchiorre, Umberto Rossi, Luigi Solbiati, Luca Maria Sconfienza

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in La Radiologia medica, 2017. 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
2.3field-weighted citation impact, top 11% 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, 18 citations in OpenAlex.

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  12. Bilio-cutaneous fistula obliteration with NBCA.The Indian journal of radiology & imaging
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Giovanni MauriUnit of Radiology, IRCCS Policlinico San Donato, Via Morandi 30, San Donato Milanese, 20097, Milan, Italy. vanni.mauri@gmail.com.
Lorenzo C PescatoriPostgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy.
Chiara MattiuzPostgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy.
Dario PorettiDepartment of Radiology, Humanitas Research Hospital, Rozzano, 20089, Milan, Italy.
Vittorio PediciniDepartment of Radiology, Humanitas Research Hospital, Rozzano, 20089, Milan, Italy.
Fabio MelchiorreDepartment of Radiology, San Paolo Hospital, Via Antonio di Rudinì, 8, 20142, Milan, Italy.
Umberto RossiDivision of Radiology and Interventional Radiology, Department of Diagnostic Sciences, San Carlo Borromeo Hospital, Via Pio II 3, 20153, Milan, Italy.
Luigi SolbiatiHumanitas University, Rozzano, 20089, Milan, Italy.
Luca Maria SconfienzaDepartment of Biomedical Sciences for Health, Università degli Studi di Milano, Via Pascal 36, 20133, Milan, Italy.
University of Milan · ITIRCCS Humanitas Research Hospital · ITHumanitas University · ITIRCCS Policlinico San Donato · ITOspedale San Carlo · ITOspedale San Paolo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo present the results of our experience with cyanoacrylic glue percutaneous injection to treat post-surgical non-healing enteric fistulae after failure of standard treatments.

methodsEighteen patients (14 males; age range 33-84, mean 69 years) were treated for a non-healing post-surgical enteric fistula after failure of standard treatments. Under computed tomography and/or fluoroscopic guidance, a mixture of cyanoacrylic glue (Glubran 2, GEM, Viareggio, Italy) and ethiodized oil was injected at the site of the fistula. Fistula was considered healed when no material was drained by the percutaneous drainage and a subsequent computed tomography confirmed the disappearance of any fluid collection.

resultsIn all cases, it was possible to reach the site of the fistula using a percutaneous access. A median of 1 injection (range 1-5) was performed. Fistula healing was achieved in 16/18 (89 %) patients. One patient died for other reasons before fistula healing. Median time for fistula healing was 0 days (mean 8, range 0-58 days). No complications occurred. Reoperation was needed in one patient.

conclusionsPercutaneous injection of cyanoacrylic glue is feasible, safe, and effective to treat non-healing post-surgical enteric fistulae. It may represent a further option to avoid surgical reoperation in frail patients.

Indexed as

Radiography, InterventionalAdultAgedAged, 80 and overCyanoacrylatesDigestive System Surgical ProceduresFeasibility StudiesFemaleHumansInjections, IntralesionalIntestinal FistulaMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTissue AdhesivesCyanoacrylatesTissue AdhesivesCyanoacrilyc glueEnteric fistulaGlubranImage-guided techniquePercutaneous treatment

Identifiers

PMID27752970
OpenAlexW2538202701

What OpenQuestion holds

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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.