Delayed Bowel Perforation after Routine Distal Loopogram Prior to Ileostomy Closure.

Keat Seong Poh, Siew Yep Hoh, Rezal Aziz, Shun Siang Chong, April Camilla Roslani

Open access · goldAbstract read

In one paragraph

Article in Open medicine (Warsaw, Poland), 2020. 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

0.2field-weighted citation impact, top 49% 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, 3 citations in OpenAlex.

Bowel perforation during enema examination through a colostomy without leakage of contrast agent: A case report.International journal of surgery case reports · 2020
Article
Delayed complication due to retained contrast following augmented pressure distal loop colostogram in anorectal malformation.African journal of paediatric surgery : AJPS
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

5 authors at 1 institution in 1 country.

Keat Seong PohDepartment of Surgery, University Malaya, Kuala Lumpur, Malaysia.

Siew Yep HohDepartment of Surgery, University Malaya, Kuala Lumpur, Malaysia.

Rezal AzizDepartment of Surgery, University Malaya, Kuala Lumpur, Malaysia.

Shun Siang ChongDepartment of Surgery, University Malaya, Kuala Lumpur, Malaysia.

April Camilla RoslaniDepartment of Surgery, University Malaya, Kuala Lumpur, Malaysia.

University of Malaya · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ultra-low anterior resection for low rectal cancer is usually done with a covering ileostomy as a safety measure to reduce the consequences of distal anastomotic failure. In many centres, distal loopogram is performed routinely, prior to the closure of the loop ileostomy, to assess the integrity of anastomosis. Distal loopogram is generally considered a safe procedure with very low complication rates, especially when water-soluble contrast is used. We report two cases of delayed bowel perforation which led to severe sepsis and generalized peritonitis after distal loopogram prior to ileostomy closure. Our cases highlight the potential dangers of distal loopogram. Therefore, the routine usage of this procedure should be scrutinized and the patient needs to be properly counselled prior to the procedure.

Indexed as

Anastomosis leakBowel perforationDistal loopogramIleostomyUltralow anterior resection

Identifiers

PMID32292822

DOI10.1515/med-2020-0037

PMCPMC7147292

OpenAlexW3015555095

What OpenQuestion holds

Textmetadata

LicenceCC BY

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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.