Evidence map›Paper›PMID 31435844›Full record

Trial reportTechniques in coloproctology2019

Innovative appliance for colostomy patients: an interventional prospective pilot study.

P-A Lehur, J-B Deguines, L Montagliani, J-P Duffas, L Bresler, F Mauvais, K Boudjema, E Chouillard, CC Study Group

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Techniques in coloproctology, 2019. 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.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Ostomy continence devices: a systematic review of the literature and meta-analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
    Pooled it
  2. 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

9 authors.

P-A LehurDepartment of colorectal surgery, Clinique de chirurgie digestive et endocrinienne, Centre Hospitalier Universitaire, University hospital of Nantes, 1, place Alexis Ricordeau, 44,035, Nantes, France. dr.pa.lehur@gmail.com.
J-B DeguinesCentre Hospitalier, Service Chirurgie Digestive, Boulogne sur Mer, France.
L MontaglianiHôpital d'Instruction des Armées Begin, Service de Chirurgie Viscérale et Digestive, Saint Mandé, France.
J-P DuffasCHRU Rangueil, Service de Chirurgie Générale et Digestive, Toulouse, France.
L BreslerCHRU Brabois, Service de Chirurgie Digestive, Hépatobiliaire, Pancréatique, Endocrinienne et Cancérologique, Vandoeuvre Les Nancy, France.
F MauvaisCH Beauvais, Chirurgie viscérale et digestive, Beauvais, France.
K BoudjemaCHU Pontchaillou, Service de Chirurgie Hépato-Biliaire et Digestive, Rennes, France.
E ChouillardCentre hospitalier, Service de Chirurgie Digestive Viscérale, Urologique et Plastique, Poissy/St Germain en Laye Hospital, Poissy, France.
CC Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe control of body waste emptying is a constant research topic in stoma care. The aim of this pilot study was to assess the efficacy and safety of an innovative colostomy appliance.

methodsAn interventional prospective non-comparative pilot study was conducted in seven French centers. The study device is a new type of two-piece appliance including a base plate and a "capsule cap" (CC) composed of a capsule cover and a folded collecting bag. The device gently seals the stoma to provide stoma output control. When the bowel movement pressure increases the patient may control the deployment of the folded bag and collect stools. Patients with left-sided colostomy all using a flat appliance, were enrolled in a 2-week trial. Outcome measures were type of CC removal and peristomal fecal leaks while wearing the device.

resultsOf 30 patients (females 66.7%), with left-sided colostomy (permanent 76.7%), 23 (76.7%) completed the 2-week trial. A total of 472 CC changes were analyzed. EFFICACY: of 404 (85.5%) CC changes reported in diaries, 302 (74.8%) were linked with stool and/or gas. In 244 (60.3%) changes, the patient controlled stoma bag deployment and it occurred with bowel emptying 301 (74.5%) times. No leaks around the appliance were observed in 400 (85.3%) changes. SAFETY: no serious adverse event occurred. Peristomal skin was not modified during the trial.

conclusionsIn the short term this new device has provided an increased control over bowel emptying at no risk in half of the trial population suggesting that an alternative approach to bag wearing is achievable.

Indexed as

Colonic PouchesSurgical StomasAgedColostomyDefecationFemaleFranceHumansMaleMiddle AgedPilot ProjectsProspective StudiesTreatment OutcomeApplianceBody imageColorectal surgeryColostomyOutput controlStoma care

Identifiers

PMID31435844
PMCPMC6791903

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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.