Evidence map›Paper›PMID 32777932›Full record

SynthesisAnnals of the Royal College of Surgeons of England2020

Management of sigmoid volvulus using percutaneous endoscopic colostomy.

S Jackson, M O Hamed, J Shabbir

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Annals of the Royal College of Surgeons of England, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Management of sigmoid volvulus using percutaneous endoscopic colostomy.Annals of the Royal College of Surgeons of England · 2023
    Article
  8. Dilemma of sigmoid volvulus management.Annals of the Royal College of Surgeons of England · 2022
    Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

S JacksonUniversity Hospitals Bristol NHS Foundation Trust, UK.
M O HamedNorfolk and Norwich University Hospitals NHS Foundation Trust, UK.
J ShabbirUniversity Hospitals Bristol NHS Foundation Trust, UK.
University Hospitals Bristol NHS Foundation Trust · GBNorfolk and Norwich University Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this systematic review was to appraise the current literature on the use of percutaneous endoscopic colostomy (PEC) as an alternative to major surgery and endoscopic decompression alone for treating sigmoid volvulus in frail, comorbid patients.

methodsA systematic literature search of literature published between April 2000 and January 2017 was carried out using the MEDLINE

findingsSeven observational studies and seven case reports (comprising eighty-one patients) were found to match our inclusion criteria. All patients had recurrent sigmoid volvulus and were treated with PEC either with a single PEC tube or with two PEC tubes inserted. Sigmoid volvulus recurred in 10 of the 81 patients; 3 of these individuals developed recurrence with PEC tubes in situ and 7 following tube removal. There were seven deaths after the procedure. The most frequent morbidity associated with PEC tube insertion was site infection (

conclusionsOur systematic review highlights the use of PEC as an alternative in managing recurrent sigmoid volvulus in frail, comorbid patients unfit for or refusing surgery, with the best outcomes seen in those patients where two PEC tubes were inserted and remained in situ indefinitely. Further studies are needed to improve the safety and efficacy of the procedure as well as post-procedure care.

Indexed as

ColostomySigmoidoscopyColon, SigmoidHumansIntestinal VolvulusSigmoid DiseasesPercutaneous endoscopic colostomySigmoid volvulus

Identifiers

PMID32777932
PMCPMC7591603
OpenAlexW3048553292

What OpenQuestion holds

Textmetadata
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.