Evidence map›Paper›PMID 28124742›Full record

ArticleInternational journal of colorectal disease2017

The small height of an anastomotic colonic doughnut is an independent risk factor of anastomotic leakage following colorectal resection: results of a prospective study on 154 consecutive cases.

François Cauchy, Solafah Abdalla, Christophe Penna, Benjamin Angliviel, Benoit Lambert, Bruno Costaglioli, Antoine Brouquet, Stéphane Benoist

Abstract read
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In one paragraph

Article in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 29% 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, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Anastomotic Troubleshooting.Clinics in colon and rectal surgery · 2021
    Review
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

François CauchyDepartment of Digestive Surgery, Hôpital Bicêtre, University Paris Sud XI, 78 Rue du Général Leclerc, 94270, Le Kremlin-Bicêtre, France.
Solafah AbdallaDepartment of Digestive Surgery, Hôpital Bicêtre, University Paris Sud XI, 78 Rue du Général Leclerc, 94270, Le Kremlin-Bicêtre, France.
Christophe PennaDepartment of Digestive Surgery, Hôpital Bicêtre, University Paris Sud XI, 78 Rue du Général Leclerc, 94270, Le Kremlin-Bicêtre, France.
Benjamin AnglivielDepartment of Digestive Surgery, Hôpital Bicêtre, University Paris Sud XI, 78 Rue du Général Leclerc, 94270, Le Kremlin-Bicêtre, France.
Benoit LambertDepartment of Digestive Surgery, Hôpital Bicêtre, University Paris Sud XI, 78 Rue du Général Leclerc, 94270, Le Kremlin-Bicêtre, France.
Bruno CostaglioliDepartment of Digestive Surgery, Hôpital Bicêtre, University Paris Sud XI, 78 Rue du Général Leclerc, 94270, Le Kremlin-Bicêtre, France.
Antoine BrouquetDepartment of Digestive Surgery, Hôpital Bicêtre, University Paris Sud XI, 78 Rue du Général Leclerc, 94270, Le Kremlin-Bicêtre, France. antoine.brouquet@aphp.fr.
Stéphane BenoistDepartment of Digestive Surgery, Hôpital Bicêtre, University Paris Sud XI, 78 Rue du Général Leclerc, 94270, Le Kremlin-Bicêtre, France.
Bicêtre Hospital · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this prospective study was to assess the influence of morphological characteristics of anastomotic doughnuts on the risk of anastomotic leakage (AL) after double-stapled colorectal anastomosis.

methodsThis single-center prospective study enrolled all patients undergoing double-stapled colorectal anastomosis between December 2012 and December 2015. Maximal diameter and minimal and maximal heights and widths of both colonic and rectal doughnuts were measured by surgeons in the operating room. Their influence on the risk of AL was analyzed on uni- and multivariate models.

resultsOne hundred fifty-four patients were included; 92 (59.7%) were operated on for malignancy. Colorectal anastomoses > and <10 cm above the anal verge were performed in 96 (62.3%) and 58 (37.7%) patients, respectively. AL occurred in 17 (11.0%). The minimal height of the colonic doughnut (CD) was the only measurement significantly associated with an increased risk of AL (p = 0.026). A cutoff value of 4.5 mm for the CD determined on the ROC curve (AUC 0.685, p = 0.013) yielded the best sensitivity (61.4%) and specificity (82.4%) to predict AL. On multivariate analysis, a height of the CD <4.5 mm (OR 5.743, 95% IC 1.476-22.346, p = 0.012), malignant disease (OR 8.821, 95% IC 1.051-74.006, p = 0.045), and American Society of Anesthesiologists score >2 (OR 3.408, 95% IC 1.017-11.418, p = 0.047) were the only independent risk factors of AL.

conclusionThe CD's minimal height influences the risk of AL. Its routine measurement during operation, along with other risk factors, could help to decide which patients could benefit from a diverting stoma or the creation of a new anastomosis.

Indexed as

AdultAgedAged, 80 and overAnastomosis, SurgicalAnastomotic LeakColonColorectal SurgeryFemaleHumansMaleMiddle AgedMultivariate AnalysisPostoperative CarePostoperative ComplicationsProspective StudiesRisk FactorsAnastomotic doughnutsAnastomotic leakageColorectal surgeryMechanical colorectal anastomosis

Identifiers

PMID28124742
OpenAlexW2580791545

What OpenQuestion holds

Textmetadata
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.