Evidence map›Paper›PMID 27927245›Full record

ArticleBMC surgery2016

Congenital adhesion band causing small bowel obstruction: What's the difference in various age groups, pediatric and adult patients?

Kwang-Ho Yang, Tae-Beom Lee, Si-Hak Lee, Soo-Hong Kim, Yong-Hoon Cho, Hae-Young Kim

Open access · goldAbstract read
In one paragraph

Article in BMC surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Guideline
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  3. Tissue adhesion after surgical interventions (Review).Experimental and therapeutic medicine · 2025
    Review
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  6. Band adhesions in a virgin abdomen: A case report.International journal of surgery case reports · 2024
    Article
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  10. The Assessment ofActa medica Lituanic · 2024
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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.

Kwang-Ho YangDepartment of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
Tae-Beom LeeDepartment of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
Si-Hak LeeDepartment of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
Soo-Hong KimDepartment of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
Yong-Hoon ChoDepartment of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea. choyh70@pusan.ac.kr.
Hae-Young KimDepartment of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
Pusan National University Yangsan Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA congenital adhesion band is a rare condition, but may induce a small bowel obstruction (SBO) at any age. However, only a few sporadic case reports exit. We aimed to identify the clinical characteristics of congenital adhesion band manifesting a SBO stratified by age group between pediatric and adult patients.

methodsThe medical records of all patients with a SBO between Jan 1, 2009 and Dec 31, 2015 were retrospectively reviewed. Cases associated with previous surgical procedure and cases of secondary obstruction due to inflammatory processes or tumor and other systemic diseases were excluded. The patients were divided into two groups according to age below or above 18 years: pediatric and adult. The basic clinical characteristics were analyzed and compared between groups.

resultsOf 251 patients with a SBO, 15 (5.9%) met the inclusion criteria; 10 cases in pediatric group (mean age 17.9 ± 38.7 months) and 5 cases in adult group (mean age 60.0 ± 19.7 years). The pediatric group (66.6%) included 3 neonates, 5 infants, and 2 school children. They usually presented with bilious vomiting (50.0%) and abdominal distention (60.0%), and demonstrated a high rate of early operation (80.0%) and bowel resection (70.0%). In contrast, the adult group (33.3%) presented with abdominal pain (100%) in all cases and underwent a relatively simple procedure of band release using a laparoscopic approach (60%). However, group differences did not reach statistical significance. In addition, two groups did not differ in the time interval to the operation or in the range of the operation (p = 0.089 vs. p = 0.329). No significant correlation was found between the time interval to the operation and the necessity of bowel resection (p = 0.136). There was no mortality in either group.

conclusionsCongenital adhesion band is a very rare condition with diverse clinical presentations across ages. Unlike adult patients, pediatric patients showed a high proportion of early operation and bowel resection. A good result can be expected with an early diagnosis and prompt management regardless of age.

Indexed as

AdultAgedAmniotic Band SyndromeChild, PreschoolFemaleHumansInfantInfant, NewbornIntestinal ObstructionIntestine, SmallMaleMiddle AgedTissue AdhesionsAdultCongenital adhesion bandObstructionPediatric

Identifiers

PMID27927245
PMCPMC5142405
OpenAlexW2560237830

What OpenQuestion holds

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LicenceCC BY
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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.