Evidence map›Paper›PMID 29600578›Full record

ReviewInternational wound journal2018

Successful treatment of enteroatmospheric fistulas in combination with negative pressure wound therapy: Experience on 3 cases and literature review.

Ulrich Wirth, Bernhard W Renz, Dorian Andrade, Tobias S Schiergens, Helmut Arbogast, Joachim Andrassy, Jens Werner

Abstract readCase ReportsReview
In one paragraph

Review in International wound journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
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  3. Review
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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

7 authors.

Ulrich WirthDepartment of General, Visceral and Transplantation Surgery, Hospital of the University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0003-2366-8524
Bernhard W RenzDepartment of General, Visceral and Transplantation Surgery, Hospital of the University of Munich, Munich, Germany.
Dorian AndradeDepartment of General, Visceral and Transplantation Surgery, Hospital of the University of Munich, Munich, Germany.
Tobias S SchiergensDepartment of General, Visceral and Transplantation Surgery, Hospital of the University of Munich, Munich, Germany.
Helmut ArbogastDepartment of General, Visceral and Transplantation Surgery, Hospital of the University of Munich, Munich, Germany.
Joachim AndrassyDepartment of General, Visceral and Transplantation Surgery, Hospital of the University of Munich, Munich, Germany.
Jens WernerDepartment of General, Visceral and Transplantation Surgery, Hospital of the University of Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enteroatmospheric fistulas (EAF) are rare but challenging and morbid complications of abdominal surgery and require time- as well as resource-consuming management. Furthermore, they severely affect patients' quality of life. Several treatment modalities for EAF management are described in the literature. We describe 3 consecutive cases of EAF treatment by employing negative pressure wound therapy (NPWT) along with either a special silicone fistula adapter or a Silo-Vac-like system in another case to isolate the fistula from the remaining abdominal wound. Spontaneous fistula closure was achieved in 2 of the 3 cases, and surgical resection of the small bowel segment harbouring EAF opening was possible in a third case after wound conditioning. The rate of fistula closure was 100% (n = 3/3). Compartmentalisation of the contaminated area using NPWT accelerated healing of the open abdominal wound remarkably. In summary, we present a useful tool for the challenging management of EAF and review the literature on different treatment options of EAF available today.

Indexed as

Abdominal Wound Closure TechniquesAdultFemaleGastroscopyHumansIntestinal FistulaMaleMiddle AgedNegative-Pressure Wound TherapyTreatment OutcomeWound Healingenteroatmospheric fistulafistula adapterfistula isolationnegative pressure wound therapy

Identifiers

PMID29600578
PMCPMC7950098

What OpenQuestion holds

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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.