Evidence map›Paper›PMID 28867978›Full record

ArticleGastroenterology & hepatology2017

When Not to Pouch: Important Considerations for Patient Selection for Ileal Pouch-Anal Anastomosis.

Shannon Chang, Bo Shen, Feza Remzi

Open access · greenAbstract read
PubMed Full text at PMC
In one paragraph

Article in Gastroenterology & hepatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.7field-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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Pouchitis: insight into the pathogenesis and clinical aspects.American journal of translational research · 2022
    Review
  10. Review
  11. Article
  12. Article
  13. Managing non-IBD fistulising disease.Frontline gastroenterology · 2021
    Article
  14. Article
  15. Review
  16. Review
  17. Outcomes and Management of the Ileal Pouch-Anal Anastomosis in the Elderly.Current treatment options in gastroenterology · 2018
    Review
  18. Review
  19. Review
  20. Article
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

3 authors at 1 institution in 1 country.

Shannon ChangDr Chang is an assistant professor of medicine at the Inflammatory Bowel Disease Center at New York University Langone Medical Center in New York, New York. Dr Shen is a professor of medicine at the Center for Inflammatory Bowel Diseases at the Digestive Disease and Surgery Institute at The Cleveland Clinic Foundation in Cleveland, Ohio. Dr Remzi is a professor of surgery and director of the Inflammatory Bowel Disease Center at New York University Langone Medical Center.
Bo ShenDr Chang is an assistant professor of medicine at the Inflammatory Bowel Disease Center at New York University Langone Medical Center in New York, New York. Dr Shen is a professor of medicine at the Center for Inflammatory Bowel Diseases at the Digestive Disease and Surgery Institute at The Cleveland Clinic Foundation in Cleveland, Ohio. Dr Remzi is a professor of surgery and director of the Inflammatory Bowel Disease Center at New York University Langone Medical Center.
Feza RemziDr Chang is an assistant professor of medicine at the Inflammatory Bowel Disease Center at New York University Langone Medical Center in New York, New York. Dr Shen is a professor of medicine at the Center for Inflammatory Bowel Diseases at the Digestive Disease and Surgery Institute at The Cleveland Clinic Foundation in Cleveland, Ohio. Dr Remzi is a professor of surgery and director of the Inflammatory Bowel Disease Center at New York University Langone Medical Center.
NYU Langone Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ileal pouch-anal anastomosis (IPAA) is the preferred surgical treatment for patients who undergo colectomy and wish to avoid a permanent ileostomy. The overall outcomes are positive, with an improved quality of life and stable long-term pouch retention. However, certain conditions or disease states may be at a higher risk of pouch dysfunction or failure. For example, obese patients have an increased risk for postoperative complications. In addition, women with a history of obstetric complications and elderly patients with a history of sphincter damage or dysfunction may be at an increased risk for postoperative incontinence, although quality-of-life indices do not necessarily correlate with incontinence scores. Advanced age itself is not a contraindication to pouch surgery, and elderly patients can be considered for IPAA based on individual functionality and comorbidities. Pelvic radiation may lead to pouch dysfunction. Finally, patients with Crohn's disease and indeterminate colitis may have increased complications with IPAA, but highly specific patient selection leads to good rates of pouch retention. This article examines several clinical scenarios that require careful thought prior to considering IPAA.

Indexed as

Crohn’s diseasefecal incontinenceIleal pouch–anal anastomosisobesityradiation therapyulcerative colitis

Identifiers

PMID28867978
PMCPMC5572960
OpenAlexW2753303225

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.