Evidence map›Paper›PMID 33851498›Full record

ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2021

The role of laparoscopic surgery in repeat ileocolic resection for Crohn's disease.

Heather Carmichael, Daniel Peyser, Vanessa M Baratta, Deepika Bhasin, Adrienne Dean, Sergey Khaitov, Alexander J Greenstein, Patricia Sylla

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2021. 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
1.9field-weighted citation impact, top 14% 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, 15 citations in OpenAlex.

  1. Predictors of conversion and outcomes after conversion in laparoscopic redo ileocolic resection for Crohn's disease.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
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  10. Perioperative optimization of Crohn's disease.Annals of gastroenterological surgery · 2023
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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

8 authors at 4 institutions in 1 country.

Heather CarmichaelDepartment of General Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA.
Daniel PeyserDepartment of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Vanessa M BarattaDepartment of General Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.
Deepika BhasinDepartment of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Adrienne DeanIcahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Sergey KhaitovDivision of Colon and Rectal Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Alexander J GreensteinDivision of Colon and Rectal Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Patricia SyllaDivision of Colon and Rectal Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Mount Sinai Hospital · USIcahn School of Medicine at Mount Sinai · USUniversity of Colorado Denver · USYale University · US

Funding

TRAINING PROGRAM IN INVESTIGATIVE GASTROENTEROLOGYT32DK007017 · NIDDK · YALE UNIVERSITY · PI Fred Sanford Gorelick, Liza Konnikova · 1986 to 2026
$7.1M
NIDDK NIH HHS T32 DK007017NIH HHS NIDDK-T32 DK 7017
6 · The paper itself

Abstract

aimLaparoscopic surgery is the preferred approach for primary uncomplicated ileocolic resection (ICR); however, its role for repeat resections is unclear. This study assessed the outcomes of primary and repeated ICRs for Crohn's disease to examine rates of laparoscopy and patient morbidity.

methodsA retrospective review of a prospectively maintained database was conducted at a tertiary centre between 2013 and 2019. All patients undergoing ICRs for Crohn's disease were included. The cohort was divided into three groups based on number of resections-primary (1R), secondary (2R) and tertiary or more (>2R) groups. The primary outcome was 30-day postoperative morbidity.

resultsOver a 6-year period, 474 patients underwent ICR for Crohn's disease, including 369 primary (1R, 77.8%) and 105 repeat (≥2R, 22.2%) resections. A laparoscopic approach was less common in the ≥2R versus 1R groups (79.0% vs. 93.8%, P < 0.001), but rates of conversion to an open procedure were comparable. Morbidity was higher amongst repeat resections although this was not significant (20.0% vs. 14.1%, P = 0.18). Amongst cases approached laparoscopically (n = 429), rates of conversion and postoperative morbidity did not differ by stage of resection, although operative time was longer for repeat operations. Even in the group undergoing laparoscopy for tertiary or greater resections (>2R, n = 29), the rates of conversion (10%) and morbidity (14%) were relatively low.

conclusionIn this contemporary series of primary and reoperative ICR for ileal CD, a laparoscopic approach is feasible and safe for the majority of repeat ICRs when performed at a high volume centre.

Indexed as

Crohn DiseaseLaparoscopyColectomyHumansIleumPostoperative ComplicationsRetrospective StudiesTreatment OutcomeCrohn's diseaseileocolic resectioninflammatory bowel diseaselaparoscopic surgerymorbidity

Identifiers

PMID33851498
PMCPMC10176488
OpenAlexW3153741342

What OpenQuestion holds

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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.