ReviewGastroenterology research and practice2017
Routine Drainage of Colorectal Anastomoses: An Evidence-Based Review of the Current Literature.
Review in Gastroenterology research and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Is abdominal vascular calcification score valuable in predicting the occurrence of colorectal anastomotic leakage? A meta-analysis.International journal of colorectal disease · 2020Pooled it
- Analysis of retrograde infection of prophylactic pelvic drains in rectal cancer surgery: a retrospective cohort study.Surgery today · 2026Article
- Intra-peritoneal migration of abdominal drain after cholecystectomy - Laparoscopic retrieval: A case report.Journal of minimal access surgery · 2024Article
- Predictive Factors for Anastomotic Leakage Following Colorectal Cancer Surgery: Where Are We and Where Are We Going?Current oncology (Toronto, Ont.) · 2023Review
- A development study of drain fluid gastrografin as a biomarker of anastomotic leak.Annals of coloproctology · 2022Article
- Trans-Anastomotic Drainage Tube Placement After Hand-Sewn Anastomosis in Patients Undergoing Intersphincteric Resection for Low Rectal Cancer: An Alternative Drainage Method.Frontiers in oncology · 2022Article
- Risk Factors for Anastomotic Leak, Consideration for Proximal Diversion, and Appropriate Use of Drains.Clinics in colon and rectal surgery · 2021Review
- Geographical Variation in the Use of Diverting Loop Ileostomy in Australia and New Zealand Colorectal Surgeons.Annals of coloproctology · 2021Article
- Etiology and surgical management of pediatric acute colon perforation beyond the neonatal stage.BMC surgery · 2021Article
- The factors related to failure of Enhanced Recovery after Surgery (ERAS) in colon cancer surgery.Langenbeck's archives of surgery · 2020Article
- Bowel anastomosis leakage following endometriosis surgery: an evidence based analysis of risk factors and prevention techniques.Facts, views & vision in ObGyn · 2020Review
- Article
- Predictive factors for anastomotic leakage after laparoscopic colorectal surgery.World journal of gastroenterology · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of prophylactic drainage after colorectal anastomoses has been long debated. This report aimed to review the current literature discussing routine drainage of colorectal anastomoses highlighting two opposite perspectives (prodrainage and antidrainage) to demonstrate the clinical utility of prophylactic drainage and its proper indications.
methodsAn organized literature search was conducted querying electronic databases and Google Scholar. Articles evaluating the role of routine prophylactic drainage after colorectal anastomosis were included and divided into two categories: articles supporting the use of drains (prodrainage) and articles disputing routine drainage (antidrainage).
resultsThere were seven systematic reviews and/or meta-analyses, one Cochrane review, one randomized controlled trial, and six prospective or retrospective cohort studies. Six studies supported prophylactic drainage of colorectal anastomoses; the quality of these studies ranged between grade II and IV. Nine studies recommended against the use of prophylactic drainage, six studies were grade I, one was grade II, and two were grade IV.
conclusionSince level I evidence studies including well-designed randomized trials and meta-analyses recommended against the use of pelvic drainage as a routine practice after colorectal anastomoses, we conclude no significant impact of routine drainage on the risk of anastomotic leakage after colorectal anastomoses.
Identifiers
What OpenQuestion holds
Registered trials
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.