Evidence map›Paper›PMID 28028380›Full record

Observational studyJSLS : Journal of the Society of Laparoendoscopic Surgeons

Small-Bowel Obstruction Secondary to Adhesions After Open or Laparoscopic Colorectal Surgery.

Sebastian Smolarek, Mostafa Shalaby, Giulio Paolo Angelucci, Giulia Missori, Ilaria Capuano, Luana Franceschilli, Silvia Quaresima, Nicola Di Lorenzo, Pierpaolo Sileri

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. SeprafilmBMC surgery · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Surgical complications in colorectal cancer patients.Annals of medicine and surgery (2012) · 2020
    Review
  13. Article
  14. Observational
  15. A rare complication of ileostomy obstruction: Boerhaave syndrome.Annals of the Royal College of Surgeons of England · 2018
    Article
  16. Article
  17. Article
  18. Postoperative Abdominal Adhesions: Clinical Significance and Advances in Prevention and Management.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017
    Review
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

9 authors at 2 institutions in 2 countries.

Sebastian SmolarekDepartment of General Surgery, University of Rome Tor Vergata, Rome, Italy.
Mostafa ShalabyDepartment of General Surgery, University of Rome Tor Vergata, Rome, Italy.
Giulio Paolo AngelucciDepartment of General Surgery, University of Rome Tor Vergata, Rome, Italy.
Giulia MissoriDepartment of General Surgery, University of Rome Tor Vergata, Rome, Italy.
Ilaria CapuanoDepartment of General Surgery, University of Rome Tor Vergata, Rome, Italy.
Luana FranceschilliDepartment of General Surgery, University of Rome Tor Vergata, Rome, Italy.
Silvia QuaresimaDepartment of General Surgery, University of Rome Tor Vergata, Rome, Italy.
Nicola Di LorenzoDepartment of General Surgery, University of Rome Tor Vergata, Rome, Italy.
Pierpaolo SileriDepartment of General Surgery, University of Rome Tor Vergata, Rome, Italy.
University of Rome Tor Vergata · ITMansoura University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesSmall-bowel obstruction (SBO) is a common surgical emergency that occurs in 9% of patients after abdominal surgery. Up to 73% are caused by peritoneal adhesions. The primary purpose of this study was to compare the rate of SBOs between patients who underwent laparoscopic (LPS) and those who had open (OPS) colorectal surgery. The secondary reasons were to evaluate the rate of adhesive SBO in a cohort of patients who underwent a range of colorectal resections and to assess risk factors for the development of SBO.

methodThis was a retrospective observational cohort study. Data were analyzed from a prospectively collected database and cross checked with operating theater records and hospital patient management systems.

resultsDuring the study period, 707 patients underwent colorectal resection, 350 of whom (49.5%) were male. Median follow-up was 48.3 months. Of the patients included, 178 (25.2%) underwent LPS, whereas 529 (74.8%) had OPS. SBO occurred in 72 patients (10.2%): 20 (11.2%) in the LPS group and 52 (9.8%) in the OPS group [

conclusionThe use of laparoscopy does not influence the rate of SBO, but conversion from laparoscopic to open surgery is associated with an increased risk of SBO. Stoma formation is associated with a 2-fold increase in SBO. Development of ESBO is highly associated with a need for further surgical intervention.

Indexed as

Intestine, SmallAdolescentAdultAgedAged, 80 and overColorectal SurgeryFemaleHumansIntestinal ObstructionLaparoscopyMaleMiddle AgedPostoperative ComplicationsReoperationRetrospective StudiesRisk Factors

Identifiers

PMID28028380
PMCPMC5147680
OpenAlexW2566841057

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.