Evidence map›Paper›PMID 31559371›Full record

ArticleJournal of the anus, rectum and colon2019

Comparative outcomes between palliative ileostomy and colostomy in patients with malignant large bowel obstruction.

Yasuo Nagashima, Kimihiko Funahashi, Mitsunori Ushigome, Satoru Kagami, Tomoaki Kaneko, Yu Yoshino, Takamaru Koda, Junichi Koike, Akiharu Kurihara, Takamitsu Sakai and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the anus, rectum and colon, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
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

11 authors at 2 institutions in 1 country.

Yasuo NagashimaDepartment of General and Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.
Kimihiko FunahashiDepartment of General and Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.
Mitsunori UshigomeDepartment of General and Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.
Satoru KagamiDepartment of General and Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.
Tomoaki KanekoDepartment of General and Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.
Yu YoshinoDepartment of General and Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.
Takamaru KodaDepartment of General and Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.
Junichi KoikeDepartment of General and Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.
Akiharu KuriharaDepartment of General and Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.
Takamitsu SakaiDepartment of General and Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.
Mayu GotoDepartment of General and Gastroenterological Surgery, Toho University Omori Medical Center, Tokyo, Japan.
Toho University Omori Medical Center · JPToho University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPalliative stoma creation should be considered in patients at high risk of colonic metallic stent failure. However, it is unclear whether ileostomy or colostomy is superior. This study compared short-term outcomes between palliative ileostomy and colostomy.

methodsWe identified 82 patients with malignant large bowel obstruction, caused by various advanced cancers, between January 2005 and December 2016. We compared short-term outcomes between the ileostomy group (n = 33) and the colostomy group (n = 49).

resultsFor all 82 patients, clinical success was achieved. Three patients with ileostomy died within 30 days of ostomy formation. The ileostomy group had statistically significant differences in median operative time (113 vs. 129 minutes,

conclusionsPalliative colostomy is superior to ileostomy due to fewer stoma-related complications. When ileostomy is required, aggressive interventions for high output stomas should be implemented.

Indexed as

colostomyileostomypalliative stomashort-term outcome

Identifiers

PMID31559371
PMCPMC6752117
OpenAlexW2942011741

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.