Evidence map›Paper›PMID 34669893›Full record

ReviewArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2021

THE ROLE OF FISTULOCLYSIS IN THE TREATMENT OF PATIENTS WITH ENTEROATMOSPHERIC FISTULAS.

Marcelo Augusto Fontenelle Ribeiro-Junior, Daniel Dante Yeh, Samara de Souza Augusto, Yasmin Garcia Batista Elias, Paola Rezende Néder, Cássia Tiemi Kawase Costa, Andressa Daniel Maurício, Salomone Di Saverio

Open access · diamondAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. 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

8 authors at 4 institutions in 3 countries.

Marcelo Augusto Fontenelle Ribeiro-JuniorDiscipline of Trauma and General Surgery, Pontifical Catholic University of São Paulo, Sorocaba, SP, Brazil.ORCID http://orcid.org/0000-0001-9826-4722
Daniel Dante YehDivision of Trauma and Surgical Critical Care, Miller School of Medicine, University of Miami, Miami, FL, USA.ORCID http://orcid.org/0000-0003-4994-0100
Samara de Souza AugustoMedical College, University Santo Amaro Medical School, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-2772-9582
Yasmin Garcia Batista EliasMedical College, University Santo Amaro Medical School, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-2733-4882
Paola Rezende NéderMedical College, University Santo Amaro Medical School, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-5198-9128
Cássia Tiemi Kawase CostaMedical College, University Santo Amaro Medical School, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-4487-356X
Andressa Daniel MaurícioMedical College, University Santo Amaro Medical School, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-3087-3828
Salomone Di SaverioDepartment of General Surgery, University of Insubria, Regione Lombardia, Varese, Italy.ORCID http://orcid.org/0000-0001-5685-5022
Universidade de Santo Amaro · BRPontifícia Universidade Católica de São Paulo · BRUniversity of Insubria · ITUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnterocutaneous fistulas represent a connection between the gastrointestinal tract and adjacent tissues. Among them, there is a subdivision - the enteroatmospheric fistulas, in which the origin is the gastrointestinal tract in connection with the external environment through an open wound in the abdomen. Due to the high output in enterocutaneous fistulas, the loss of fluids, electrolytes, minerals and proteins leads to complications such as sepsis, malnutrition and electrolyte derangements. The parenteral nutrition has its secondary risks, and the fistuloclysis, that consist in the infusion of enteral feeding and also the chyme through the distal fistula, represents an alternative to the management of these patients until the definitive surgical approach.

aimTo evaluate the current evidence on the fistuloclysis technique, its applicability, advantages and disadvantages for patients with high output fistulas.

methodA systematic literature search was conducted in May 2020 with the headings "fistuloclysis", "chyme reinfusion" and "succus entericus reinfusion", in the PubMed, Medline and SciELO databases. Results: There were 29 articles selected for the development of this narrative synthesis, from 2003 to 2020, including reviews and case reports.

conclusionFistuloclysis is a safe method which optimizes the clinical, nutritional, and immunological conditions of patients with enteroatmospheric fistulas, increasing the chances of success of the reconstructive procedure. In cases where the definitive repair is not possible, chances of reducing or even stopping the use of nutrition through the parental route are increased, thus representing a promising modality for the management of most challenging cases.

Indexed as

Intestinal FistulaSepsisEnteral NutritionHumansNutritional StatusParenteral Nutrition

Identifiers

PMID34669893
PMCPMC8521894
OpenAlexW3205495589

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.