ArticlePrzeglad gastroenterologiczny2018
Applying protective rectal tube in intestinal anastomosis.
Article in Przeglad gastroenterologiczny, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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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
2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.
- The impact of transanal tube design for preventing anastomotic leak in anterior resection: a systematic review and meta-analysis.Techniques in coloproctology · 2021Pooled it
- Single-incision laparoscopic clockwise continuous total abdominal colectomy with end ileostomy in ulcerative colitis; surgical technique and results of a 7-year experience.Surgical endoscopy · 2023Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionColorectal resection is used for various diseases, including neoplasms (benign and malignant) and inflammatory bowel disorders. Leakage is one of the complications that increase mortality and morbidity in patients. The beneficial effects of a rectal tube in reducing anastomosis leak are controversial. Ileostomy as diverting stool may reduce risk of anastomosis leak.
aimTo evaluate the results of rectal tube application to reduce leakage in low pelvic anastomosis. MATERIAL AND
methodsIn a prospective cohort study, 53 patients who were candidates for low anterior resection, extended low anterior resection, and ileal pouch-anal anastomosis, were enrolled in this study. After anastomosis, a large bore Foley was inserted transanally and put in the proximal of the anastomotic site, after fixation; we left it at least for 5 days then removed it if there was any sign of leakage.
resultsIn this research, 53 patients were studied; 30 (56.6%) were male and 23 (43%) were female. Among 32 (60%) patients who underwent total proctocolectomy and ileal pouch anal anastomosis, 24 (45%) had ulcerative colitis and 8 (15%) had familial adenomatous polyposis disorder. Among 21 (40%) patients who had rectal cancer, 8 (15%) cases had low anterior resection (LAR) and 13 (25%) underwent extended LAR. Seventeen (32%) patients used ileostomy and 36 (67.9%) patients used a rectal tube. Anastomotic leak occurred in 6 (11%) patients; all of them had ileostomy. No leakage or complication appeared in rectal tube cases. The difference was statistically significant (
conclusionsThe results of our study suggest that using a rectal tube instead of protective ileostomy may reduce anastomosis leak in the lower pelvis by reducing intraluminal pressure to effect and lower tension at the anastomosis site in low pelvic intestinal anastomosis.
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