Evidence map›Paper›PMID 29086238›Full record

SynthesisUpdates in surgery2018

A systematic review of sacral nerve stimulation for faecal incontinence following ileal pouch anal anastomosis.

E Kong, S Nikolaou, S Qiu, G Pellino, P Tekkis, C Kontovounisios

Abstract readSystematic Review
In one paragraph

Synthesis in Updates in surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. Sacral nerve stimulation in patients with ileal pouch-anal anastomosis.International journal of colorectal disease · 2021
    Article
  6. Review
  7. Outcomes and Management of the Ileal Pouch-Anal Anastomosis in the Elderly.Current treatment options in gastroenterology · 2018
    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

6 authors.

E KongDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, London, UK.
S NikolaouDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, London, UK. stella.nikolaou02@imperial.ac.uk.
S QiuDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, London, UK.
G PellinoDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, London, UK.
P TekkisDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, London, UK.
C KontovounisiosDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Faecal incontinence is a common complication of ileal pouch anal anastomosis (IPAA) and seems to worsen with time. The aim of this paper is to review the evidence of the use of sacral nerve stimulation (SNS) for patients with faecal incontinence after IPAA. A literature search was performed on PubMed and Cochrane databases for all relevant articles. All studies, which reported the outcome of SNS in patients with faecal incontinence after IPAA, were reviewed. Three papers were identified, including a case report, cohort study and retrospective study. The total number of patients was 12. The follow-up duration included 3 months, 6 months and 24 months. After peripheral nerve evaluation, definitive implantation was performed in 10 (83.3%) patients. All three studies reported positive outcomes, with CCF scores and incontinence episodes improving significantly. Preliminary results suggest good outcome after permanent SNS implant. Studies with larger sample sizes, well-defined patient characteristics and standardized outcome measures are required to fully investigate the effect of SNS in IPAA patients.

Indexed as

Proctocolectomy, RestorativeElectric Stimulation TherapyFecal IncontinenceHumansPostoperative ComplicationsSacrococcygeal RegionTreatment OutcomeFaecal incontinenceIleal pouch anal anastomosisRestorative proctocolectomySacral nerve stimulationSacral neuromodulation

Identifiers

PMID29086238
PMCPMC5866279

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Registered trials

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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.