Evidence map›Paper›PMID 31023233›Full record

ReviewBMC gastroenterology2019

A literature review and case report of severe and refractory post-colectomy enteritis.

Yingyun Yang, Yuan Liu, Weiyang Zheng, Weixun Zhou, Bin Wu, Xiyu Sun, Wei Chen, Tao Guo, Xiaoqing Li, Hong Yang and 2 more

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in BMC gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Pouchitis: pathophysiology and management.Nature reviews. Gastroenterology & hepatology · 2024
    Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Secondary causes of inflammatory bowel diseases.World journal of gastroenterology · 2020
    Review
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

12 authors at 2 institutions in 1 country.

Yingyun YangDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy Medical Sciences and Peking Union Medical College, No. 1 Dongshuaifuyuan, Dongcheng District, Beijing, 100730, China.
Yuan LiuDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy Medical Sciences and Peking Union Medical College, No. 1 Dongshuaifuyuan, Dongcheng District, Beijing, 100730, China.
Weiyang ZhengDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy Medical Sciences and Peking Union Medical College, No. 1 Dongshuaifuyuan, Dongcheng District, Beijing, 100730, China.
Weixun ZhouDepartment of Pathology, Peking Union Medical College Hospital, Chinese Academy Medical Sciences and Peking Union Medical College, Beijing, China.
Bin WuDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy Medical Sciences and Peking Union Medical College, Beijing, China.
Xiyu SunDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy Medical Sciences and Peking Union Medical College, Beijing, China.
Wei ChenDepartment of Nutrition, Peking Union Medical College Hospital, Chinese Academy Medical Sciences and Peking Union Medical College, Beijing, China.
Tao GuoDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy Medical Sciences and Peking Union Medical College, No. 1 Dongshuaifuyuan, Dongcheng District, Beijing, 100730, China.
Xiaoqing LiDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy Medical Sciences and Peking Union Medical College, No. 1 Dongshuaifuyuan, Dongcheng District, Beijing, 100730, China.
Hong YangDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy Medical Sciences and Peking Union Medical College, No. 1 Dongshuaifuyuan, Dongcheng District, Beijing, 100730, China.
Jiaming QianDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy Medical Sciences and Peking Union Medical College, No. 1 Dongshuaifuyuan, Dongcheng District, Beijing, 100730, China.
Yue LiDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy Medical Sciences and Peking Union Medical College, No. 1 Dongshuaifuyuan, Dongcheng District, Beijing, 100730, China. yuelee76@gmail.com.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNPeking Union Medical College Hospital · CN

Funding

Chinese Academy of Medical Science Initiative for Innovative Medicine 2017-I2M-3-017
6 · The paper itself

Abstract

backgroundUlcerative colitis (UC)-related post-colectomy enteritis is a very rare condition that is characterized by diffuse small-bowel mucosal inflammation following colectomy and could be very dangerous. In previously reported cases, corticosteroid therapy seemed to be the optimal choice for inducing remission; however, the patient studied herein presented with severe diarrhoea and hypovolemic shock and failed to achieve full remission with corticosteroid therapy. CASE PRESENTATION: We describe the case of a patient with severe pan-enteritis presenting with life-threatening diarrhoea complicated with hypovolemic shock and acute kidney injury after colectomy and ileal pouch anal anastomosis (IPAA) for UC; this patient was successfully treated by ileostomy closure after failing to achieve full remission with corticosteroid therapy. Next, we review other cases of post-colectomy enteritis reported in the literature and propose a flow-chart for its diagnosis and initial treatment.

conclusionPost-colectomy enteritis can be dangerous, and the early awareness of this condition plays a vital role. Additionally, in patients who do not respond well to corticosteroid or immunosuppressant therapy, early closure of the ileostomy and re-establishment of the natural faecal stream could be important considerations.

Indexed as

Acute Kidney InjuryColitis, UlcerativeDiarrheaEnteritisFemaleGlucocorticoidsHumansIleostomyMiddle AgedPostoperative ComplicationsPrednisoneProctocolectomy, RestorativeShockGlucocorticoidsPrednisoneIPAAPost-colectomy enteritisUlcerative colitis

Identifiers

PMID31023233
PMCPMC6482549
OpenAlexW2947731208

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.