Evidence map›Paper›PMID 33104840›Full record

ArticlePediatric surgery international2021

Double barrel enteroplasty for the management of short bowel syndrome in children.

Albert Shun, Gordon Thomas, Juliana Puppi, Erik La Hei, Catherine Langusch

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Article in Pediatric surgery international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
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  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Albert ShunDepartment of Paediatric Surgery, The Children's Hospital at Westmead, Westmead, NSW, Australia. albert.shun@health.nsw.gov.au.ORCID http://orcid.org/0000-0002-5440-3943
Gordon ThomasDepartment of Paediatric Surgery, The Children's Hospital at Westmead, Westmead, NSW, Australia.
Juliana PuppiDepartment of Gastroenterology, The Children's Hospital at Westmead, Westmead, NSW, Australia.
Erik La HeiDepartment of Paediatric Surgery, The Children's Hospital at Westmead, Westmead, NSW, Australia.
Catherine LanguschDepartment of Paediatric Surgery, The Children's Hospital at Westmead, Westmead, NSW, Australia.
The University of Sydney · AUChildren's Hospital at Westmead · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, there are two well-established methods of bowel lengthening in patients with short bowel syndrome (SBS)-longitudinal intestinal lengthening and tailoring (LILT) and serial transverse enteroplasty (STEP) [1-4]. Both procedures may carry a high reported morbidity and mortality of 30.2% and 14.4%, respectively [5]. We report the outcomes of a novel technique: double barrel enteroplasty (DBE) for autologous intestinal reconstruction.

methodsWe performed a retrospective review of all ten patients who underwent DBE at our institution since 2011. All patients have SBS and were dependent on parenteral nutrition (PN) at the time of surgery. Etiologies were gastroschisis (n = 4), bowel atresia (n = 3), necrotising enterocolitis (n = 1), volvulus (n = 1), and near-total intestinal aganglionosis (n = 1). Patient survival, complications, and subsequent enteral autonomy were evaluated.

resultsAll patients are alive with normal liver function. Five children achieved enteral autonomy, while the remaining are on weaning PN. There was no bleeding, anastomotic leak, perforation, infective complications, or intestinal necrosis. No patient has required a liver and/or intestinal transplant.

conclusionsDouble barrel enteroplasty is technically feasible and safe. It has similar efficacy and may have fewer complications when compared with other methods of autologous intestinal reconstruction.

Indexed as

Child, PreschoolCohort StudiesFemaleHumansInfantIntestine, SmallMalePostoperative ComplicationsRetrospective StudiesShort Bowel SyndromeTreatment OutcomeBowel lengtheningDouble barrel enteroplastyEnteral adaptationIntestinal failureShort bowel syndrome

Identifiers

PMID33104840
OpenAlexW3093759116

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.