Evidence map›Paper›PMID 27903951›Full record

ArticleAmerican journal of men's health2017

A Management Algorithm for Retained Rectal Foreign Bodies.

Shamir O Cawich, Dexter A Thomas, Fawwaz Mohammed, Nahmorah J Bobb, Dorothy Williams, Vijay Naraynsingh

Open access · goldAbstract read
In one paragraph

Article in American journal of men's health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.0field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 62 citations in OpenAlex.

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  11. Surgical management of rectal foreign bodies: A single-center experience.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
    Article
  12. Rectal Foreign Body: A Case Report.JNMA; journal of the Nepal Medical Association · 2022
    Article
  13. Management of unusual rectal foreign body - Case report and literature review.International journal of surgery case reports · 2022
    Article
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  19. Rectal foreign bodies: national outcomes after the operating room.International journal of colorectal disease · 2021
    Article
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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 1 institution in 1 country.

Shamir O Cawich1 The University of the West Indies, St. Augustine, Trinidad and Tobago.
Dexter A Thomas1 The University of the West Indies, St. Augustine, Trinidad and Tobago.
Fawwaz Mohammed1 The University of the West Indies, St. Augustine, Trinidad and Tobago.
Nahmorah J Bobb1 The University of the West Indies, St. Augustine, Trinidad and Tobago.
Dorothy Williams1 The University of the West Indies, St. Augustine, Trinidad and Tobago.
Vijay Naraynsingh1 The University of the West Indies, St. Augustine, Trinidad and Tobago.
University of the West Indies · TT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Few authors have proposed therapeutic protocols to manage retained rectal foreign bodies (RFBs). All patients with retained RFBs in hospitals across Trinidad and Tobago over 5 years were identified. Hospital records were retrieved and manually reviewed to extract the following data: demographics, history, foreign body retrieved, clinical signs at presentation, management strategy, duration of hospitalization, and morbidity and mortality. There were 10 patients with RFBs over the study period. The annual incidence of this phenomenon was 0.15 per 100,000 population. All patients were men at a mean age of 50.6 years (range: 27-83; SD = 15.3) who presented after a voluntary delay of 1.4 days (range: 0.5-2.5; SD = 0.7). Only one patient gave an accurate history on presentation, but all eventually admitted to self-insertion for sexual gratification. At presentation, one patient had a spontaneous rectal perforation (10%). The remaining nine patients had attempts at bedside transanal extraction, which was unsuccessful in 89% (8/9) of cases. The RFB was pushed beyond the grasp of forceps, making removal under anesthesia unsuccessful in 62.5% (5/8) cases. These patients required more invasive extraction methods including transanal minimally invasive surgery (1), laparoscopic-assisted advancement with transanal retrieval (1), and open surgery with transmural extraction and anastomoses (3). A management algorithm is proposed for the management of RFBs. Important points in this algorithm are the importance of clinician-patient rapport, early surgical referral, avoidance of bedside extraction in the emergency room, early examination under anesthesia, and the inclusion of emerging therapies such as transanal minimally invasive surgery.

Indexed as

AlgorithmsRectumAdultAgedAged, 80 and overForeign BodiesHumansIncidenceMaleMiddle AgedRetrospective StudiesSigmoidoscopyTrinidad and Tobagoextractionforeignrectumretainedsigmoidoscopy

Identifiers

PMID27903951
PMCPMC5675215
OpenAlexW2559695434

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.