Evidence map›Paper›PMID 28868436›Full record

ArticleGE Portuguese journal of gastroenterology

Acute Treatment of Malignant Colorectal Occlusion: Real Life Practice.

Dália Fernandes, Sara Domingues, Bruno Moreira Gonçalves, Pedro Bastos, Aníbal Ferreira, António Rodrigues, Raquel Gonçalves, Luís Lopes, Carla Rolanda

Open access · diamondAbstract read
In one paragraph

Article in GE Portuguese journal of gastroenterology. 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
0.5field-weighted citation impact, top 31% 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, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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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

9 authors at 1 institution in 1 country.

Dália FernandesGastroenterology Department, Hospital de Braga, Braga, Portugal.
Sara DominguesGastroenterology Department, Hospital de Braga, Braga, Portugal.
Bruno Moreira GonçalvesGastroenterology Department, Hospital de Braga, Braga, Portugal.
Pedro BastosGastroenterology Department, Hospital de Braga, Braga, Portugal.
Aníbal FerreiraGastroenterology Department, Hospital de Braga, Braga, Portugal.
António RodriguesGastroenterology Department, Hospital de Braga, Braga, Portugal.
Raquel GonçalvesGastroenterology Department, Hospital de Braga, Braga, Portugal.
Luís LopesGastroenterology Department, Hospital de Braga, Braga, Portugal.
Carla RolandaGastroenterology Department, Hospital de Braga, Braga, Portugal.
Hospital Braga · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionColorectal cancer presents itself as acute bowel occlusion in 10-40% of patients. There are two main therapeutic approaches: urgent surgery and endoluminal placement self-expandable metallic stents (SEMS). AIMS AND

methodsThis study intended to better clarify the risk/benefit ratio of the above-mentioned approaches. We conducted a retrospective longitudinal multicenter study, including 189 patients with acute malignant colorectal occlusion, diagnosed between January 2005 and March 2013.

resultsGlobally (85 patients - 35 bridge-to-surgery and 50 palliative), SEMS's technical success was of 94%. Palliative SEMS had limited clinical success (60%) and were associated with 40% of complications. SEMS occlusion (19%) was the most frequent complication, followed by migration (9%) and bowel perforation (7%). Elective surgery after stenting was associated with a higher frequency of primary anastomosis (94% vs. 76%;

conclusionSEMS placement as a bridge-to-surgery should be considered in the acute treatment of colorectal malignant occlusion, since it displays advantages regarding primary anastomosis, colostomy rate and overall mortality. In contrast, in this study, palliative SEMS did not appear to present significant advantages when compared to decompressive colostomy.

Indexed as

Colorectal NeoplasmsIntestinal ObstructionStents

Identifiers

PMID28868436
PMCPMC5580112
OpenAlexW2290993818

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.