Evidence map›Paper›PMID 31020433›Full record

SynthesisSurgical endoscopy2019

Incidence and predictors of postoperative ileus after loop ileostomy closure: a systematic review and meta-analysis.

Richard Garfinkle, Paul Savage, Marylise Boutros, Tara Landry, Pauline Reynier, Nancy Morin, Carol-Ann Vasilevsky, Kristian B Filion

2 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.1field-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.

NCT05905393 phase3unknown statusnot on this mapstarted 2023, after this paper: background citation

The Protective Role of Preoperative Stimulation of the Distal Limb of the Ileostomy Loop With GABA Before Ileostomy Closure

TypeinterventionalSponsorQilu Hospital of Shandong UniversityRan2023 to 2024Enrolled80ConditionsIleostomy, ComplicationsArmspreoperative stimulation of the efferent loop with GABA before ileostomy closure surgery, preoperative stimulation of the efferent loop with only physiological saline
NCT07640113 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The STIMIC Trial: A Multicenter Randomized Control Trial Evaluating the Impact of Ambulatory Physiological Stimulation of the Efferent Limb Prior to Ileostomy Closure on Colorectal Microbiota Composition and Histopathological Findings

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2026 to 2028Enrolled90ConditionsIleostomy Stoma, Stoma Stimulation, Microbiome AnalysisArmsSerum stimulation, Physiological stimulation
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. The ILEOSTIM trial: A multicentre randomised controlled trial evaluating the impact of efferent loop stimulation prior to ileostomy reversal on postoperative ileus.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Trial
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  4. Trial
  5. Article
  6. Review
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  12. Cost of postoperative ileus following colorectal surgery: A cost analysis in the Australian public hospital setting.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022
    Article
  13. Article
  14. Observational
  15. Article
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  19. Article
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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

8 authors at 2 institutions in 1 country.

Richard GarfinkleDivision of Colon and Rectal Surgery, Jewish General Hospital, Montreal, QC, Canada.
Paul SavageDivision of Colon and Rectal Surgery, Jewish General Hospital, Montreal, QC, Canada.
Marylise BoutrosDivision of Colon and Rectal Surgery, Jewish General Hospital, Montreal, QC, Canada.
Tara LandryMedical Libraries, McGill University Health Center, Montreal, QC, Canada.
Pauline ReynierCenter for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, 3755 Chemin de la Côte-Sainte-Catherine, Montreal, QC, H3T 1E2, Canada.
Nancy MorinDivision of Colon and Rectal Surgery, Jewish General Hospital, Montreal, QC, Canada.
Carol-Ann VasilevskyDivision of Colon and Rectal Surgery, Jewish General Hospital, Montreal, QC, Canada.
Kristian B FilionCenter for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, 3755 Chemin de la Côte-Sainte-Catherine, Montreal, QC, H3T 1E2, Canada. kristian.filion@mcgill.ca.ORCID 0000-0001-6055-0088
Jewish General Hospital · CAMcGill University Health Centre · CA

Funding

CIHR
6 · The paper itself

Abstract

introductionPostoperative ileus (POI) is regarded as the most clinically significant morbidity following loop ileostomy closure; however, its incidence remains poorly understood. Our objective was therefore to determine the pooled incidence of POI after loop ileostomy closure and identify risk factors associated with its development.

methodsWe systematically searched MEDLINE (via Ovid and PubMed), Embase, the Cochrane Library, Biosis Previews, and Scopus to identify studies reporting the incidence of POI in patients who underwent loop ileostomy closure. Two independent reviewers extracted data and appraised study quality. Cumulative incidence proportions were pooled across studies using a random-effects meta-analytic model.

resultsSixty-seven studies, including 9528 patients, met our inclusion criteria. The pooled estimate of POI was 8.0% (95% CI 6.9-9.3%; I

conclusionsPOI is an important complication after loop ileostomy closure, and its incidence is dependent on its definition. More research aimed at studying this complication is required to better understand risk factors for POI after loop ileostomy closure.

Indexed as

Global HealthHumansIleostomyIleusIncidencePostoperative ComplicationsPrognosisRisk FactorsIleostomyPostoperative ileusPostoperative morbidityStoma closureSystematic review

Identifiers

PMID31020433
OpenAlexW2941590122

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.