Evidence map›Paper›PMID 29159782›Full record

SynthesisTechniques in coloproctology2018

Cecal bascule: a systematic review of the literature.

B E Lung, S B Yelika, A S Murthy, M Gachabayov, P Denoya

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

23 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Colonic Volvulus.Clinics in colon and rectal surgery · 2024
    Review
  8. Cecal bascule presenting as internal hernia.Journal of surgical case reports · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Woman with right abdominal pain.Journal of the American College of Emergency Physicians open · 2023
    Article
  13. Article
  14. Article
  15. Cecal Bascule in a COVID-19 Positive Patient: Case Report.Surgery journal (New York, N.Y.) · 2022
    Article
  16. Caecal bascule following lung transplantation.Indian journal of thoracic and cardiovascular surgery · 2022
    Article
  17. Cecal bascule - An unusual cause of intestinal obstruction: A case report.International journal of surgery case reports · 2021
    Article
  18. Caecal volvulus and jejunostomy: challenging diagnostic.Journal of surgical case reports · 2021
    Article
  19. Article
  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

5 authors at 1 institution in 1 country.

B E LungDivision of Colon and Rectal Surgery, Department of Surgery, Stony Brook University Hospital, Stony Brook, NY, USA.
S B YelikaDivision of Colon and Rectal Surgery, Department of Surgery, Stony Brook University Hospital, Stony Brook, NY, USA.
A S MurthyDivision of Colon and Rectal Surgery, Department of Surgery, Stony Brook University Hospital, Stony Brook, NY, USA.
M GachabayovDivision of Colon and Rectal Surgery, Department of Surgery, Stony Brook University Hospital, Stony Brook, NY, USA.
P DenoyaDivision of Colon and Rectal Surgery, Department of Surgery, Stony Brook University Hospital, Stony Brook, NY, USA. paula.denoya@stonybrookmedicine.edu.
Stony Brook University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCecal volvulus is a rare clinical entity with an average incidence of 2.8-7.1 per million people per year, accounting for 1-2% of all large bowel obstructions. Cecal bascule is the rarest type of cecal volvulus, accounting for 5-20% of all cases. Although several case reports have been published, there is no consensus regarding its diagnosis and treatment. The aim of this study was to review the literature on cecal bascule in order to summarize the etiopathogenesis, clinical features, diagnosis, and treatment options.

methodsThe PubMed, MEDLINE, and Scopus databases were systematically searched by two independent authors. Cecal bascule was defined as anterior displacement of the distended cecum on the ascending colon without any torsion. The etiopathogenesis, clinical features, diagnosis, and treatment options were analyzed.

resultsNineteen previously published papers reporting on 26 patients were included. The mean age of patients from previously reported cases was 55.1 ± 19.2 years, and 54% of all patients were males. Presenting symptoms included abdominal pain in 16 (61%), distension in 22 (84%), and vomiting in eight patients (30%). The mean time to diagnosis was 3.6 ± 2.6 days. The extent of surgery varied from cecopexy to right colectomy. There was no postoperative mortality. Cecal bascule recurred one 1 year after index surgery in one patient.

conclusionsCecal bascule is a rare clinical entity, which is mostly encountered in patients with peritoneal adhesions, mobile cecum, bowel dysfunction, and cecal displacement. In patients with recurrent or persistent abdominal pain and distension, cecal bascule should be considered. The majority of these patients require surgical management.

Indexed as

Cecal DiseasesCecumColectomyFemaleHumansIntestinal VolvulusMaleMiddle AgedCecal basculeCecal volvulusLarge bowel obstruction

Identifiers

PMID29159782
OpenAlexW2769827677

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.