SynthesisInternational journal of colorectal disease2019
The sentinel stent? A systematic review of the role of prophylactic ureteric stenting prior to colorectal resections.
Synthesis in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses 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.
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.
Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Preventing iatrogenic ureteral injury in colorectal surgery: a comprehensive and systematic review of the last 2 decades of literature and future perspectives.Surgery today · 2024Pooled it
- 2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery.World journal of emergency surgery : WJES · 2023Guideline
- The sentinel stent? A systematic review of the role of prophylactic ureteric stenting prior to colorectal resections.International journal of colorectal disease · 2019Pooled it
- Article
- Iatrogenic ureteral injury in colorectal surgery: a retrospective cohort analysis of risk factors and preventive strategies.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026Article
- Evaluating the EVA surgical navigation system for ureteral identification in an in vivo porcine model.Scientific reports · 2025Article
- Intraoperative techniques in realtime ureteric navigation. A brief narrative review and a video vignette.Frontiers in surgery · 2025Review
- Open vs. laparoscopic vs. robotic pouch excision: unveiling the best approach for optimal outcomes.Techniques in coloproctology · 2024Article
- Acute kidney injury after colorectal surgery with prophylactic ureteral stents.Surgical endoscopy · 2024Article
- The role of ureteric indocyanine green fluorescence in colorectal surgery: a retrospective cohort study.Techniques in coloproctology · 2024Article
- Risk stratification of acute kidney injury (AKI) following ureteral stent insertion for colorectal surgery.Surgical endoscopy · 2024Article
- Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature.Frontiers in surgery · 2024Review
- CORESS is an independent charity, supported by AXA Health, the MDU and the Kirby Laing Foundation.Annals of the Royal College of Surgeons of England · 2023Article
- Abdominopelvic Surgery: Intraoperative Ureteral Injury and Prophylaxis in the United States, 2015-2019.Advances in therapy · 2023Article
- Safety and Clinical Value of Prophylactic Ureteral Stenting Before Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy.The American surgeon · 2023Article
- Laparoscopic sigmoidectomy postopen aortic replacement for abdominal aortic aneurysm: a case report.Annals of medicine and surgery (2012) · 2023Article
- NIR-II and visible fluorescence hybrid imaging-guided surgery via aggregation-induced emission fluorophores cocktails.Materials today. Bio · 2022Article
- Morbidity and predictors of delayed recognition of iatrogenic ureteric injuries.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022Article
- Intraoperative use of indocyanine green fluorescence imaging in rectal cancer surgery: The state of the art.World journal of gastroenterology · 2021Review
- Intraoperative ureter identification with a novel fluorescent catheter.Scientific reports · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose'Prophylactic' ureteric stents potentially reduce rates, and facilitate intraoperative recognition, of iatrogenic ureteric injury (IUI) during colorectal resections. A lack of consensus surrounds the risk-benefit equation of this practice, and we aimed to assess the evidence base.
methodsA systematic review was performed according to PRISMA guidelines. MEDLINE, Scopus, EMBASE and Cochrane databases were searched using terms 'ureteric/ureteral/JJ/Double J stent' or 'ureteric/ureteral catheter' and 'colorectal/prophylactic/resection/diverticular disease/diverticulitis/iatrogenic injury'. Primary outcomes were rates of ureteric injuries and their intraoperative identification. Secondary outcomes included stent complication rates.
resultsWe identified 987 publications; 22 papers met the inclusion criteria. No randomised controlled trials were found. The total number of patients pooled for evaluation was 869,603 (102,370 with ureteric stents/catheters, 767,233 controls). The most frequent indications for prophylactic stents were diverticular disease (45.38%), neoplasia (33.45%) and inflammatory bowel disease (9.37%). Pooled results saw IUI in 1521/102,370 (1.49%) with, and in 1333/767,233 (0.17%) without, prophylactic ureteric stents. Intraoperative recognition of IUIs occurred in 10/16 injuries (62.5%) with prophylactic stents, versus 9/17 (52.94%) without stents (p = 0.579). The most serious complications of prophylactic stent use were ureteric injury (2/1716, 0.12%) and transient ureteric obstruction following stent removal (13/666, 1.95%).
conclusionsPlacement of prophylactic ureteric stents has a low complication rate. There is insufficient evidence to conclude that stents decrease ureteric injury or increase intraoperative detection of IUIs. Apparently higher rates of IUI in stented patients likely reflect use in higher risk resections. A prospective registry with harmonised data collection points and stratification of intraoperative risk is needed.
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