Evidence map›Paper›PMID 28432506›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017

Elective Colectomy for Diverticulitis in Transplant Patients: Is It Worth the Risk?

Janet T Lee, Steve Skube, Genevieve B Melton, Mary R Kwaan, Christine C Jensen, Robert D Madoff, Wolfgang B Gaertner

Abstract read
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In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Diverticulitis Management in Complex Medical Contexts.Clinics in colon and rectal surgery · 2025
    Review
  3. Surgical outcomes of colorectal cancer surgery in transplant recipients: A matched case-control study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Article
  4. Observational
  5. Overuse of Proximal Fecal Diversion in Colorectal Surgery.Clinics in colon and rectal surgery · 2023
    Review
  6. Review
  7. 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

7 authors at 1 institution in 1 country.

Janet T LeeDivision of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, 420 Delaware St SE, MMC 450, Minneapolis, MN, 55455, USA.
Steve SkubeDivision of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, 420 Delaware St SE, MMC 450, Minneapolis, MN, 55455, USA.
Genevieve B MeltonDivision of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, 420 Delaware St SE, MMC 450, Minneapolis, MN, 55455, USA.
Mary R KwaanDivision of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, 420 Delaware St SE, MMC 450, Minneapolis, MN, 55455, USA.
Christine C JensenDivision of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, 420 Delaware St SE, MMC 450, Minneapolis, MN, 55455, USA.
Robert D MadoffDivision of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, 420 Delaware St SE, MMC 450, Minneapolis, MN, 55455, USA.
Wolfgang B GaertnerDivision of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, 420 Delaware St SE, MMC 450, Minneapolis, MN, 55455, USA. gaert015@umn.edu.
University of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to determine morbidity and mortality for transplant patients undergoing elective colectomy for diverticulitis and determine the impact of recurrent diverticulitis on postoperative complications.

methodsWe identified transplant recipients that underwent elective colectomy for diverticulitis between 2000 and 2015 at a tertiary care institution. Patient and procedure variables, postoperative complications, length of stay, 30-day readmission, and mortality were identified through retrospective chart review. Complication rates were compared between patients with one previous episode of diverticulitis versus two or more.

resultsThirty transplant recipients underwent colectomy for primary (n = 13) or recurrent (n = 17) diverticulitis. Primary anastomosis was performed in 26 (87%) with proximal diversion in 10 (38%). The overall complication rate was 57%, with surgical site infection being the most common (23%). There were no anastomotic leaks at the colorectal anastomosis or reoperations. Median length of stay was 8 days (range 4-23). Postoperative complications were not significantly different between groups (54 vs. 59%, p = 0.94).

conclusionsPostoperative morbidity after elective colectomy for diverticulitis in transplant recipients was common. There were no differences in complications for patients with primary versus recurrent diverticulitis. Fear of postoperative complications from recurrent diverticulitis should not be a reason to recommend elective colectomy after an initial attack of diverticulitis in transplant patients.

Indexed as

Organ TransplantationAdultAgedAged, 80 and overAnastomotic LeakColectomyDiverticulitis, ColonicElective Surgical ProceduresFemaleHumansLength of StayMaleMiddle AgedPatient ReadmissionRecurrenceReoperationDiverticulitisElective surgerySolid organ transplant

Identifiers

PMID28432506
OpenAlexW2606106846

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.