Evidence map›Paper›PMID 34853557›Full record

ReviewClinics in colon and rectal surgery2021

Anastomotic Technique-How to Optimize Success and Minimize Leak Rates.

Jeannette Man, Jennifer Hrabe

Registry-linked trialAbstract readReview
In one paragraph

Review in Clinics in colon and rectal surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07289555 (Tailored Stapled Single Anastomosis Duodeno-ileal Bypass With Sleeve Gastrectomy), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07289555 narecruitingnot on this mapstarted 2024, after this paper: background citation

Tailored Stapled Single Anastomosis Duodeno-ileal Bypass With Sleeve Gastrectomy (SADI-S): Initial Report and Preliminary Results

TypeinterventionalSponsorEl-Sahel Teaching HospitalRan2024 to 2026Enrolled40ConditionsMorbid Obesity, Bariatric Surgery, Malnutrition, ComorbiditiesArmsBariatric surgery
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

2 authors.

Jeannette ManDepartment of Vascular Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Jennifer HrabeDepartment of Colorectal Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Determining when to perform a bowel anastomosis and whether to divert can be difficult, as an anastomosis made in a high-risk patient or setting has potential for disastrous consequences. While the surgeon has limited control over patient-specific characteristics, the surgeon can control the technique used for creating anastomoses. Protecting and ensuring a vigorous blood supply is fundamental, as is mobilizing bowel completely, and employing adjunctive techniques to attain reach without tension. There are numerous ways to create anastomoses, with variations on the segment and configuration of bowel used, as well as the materials used and surgical approach. Despite numerous studies on the optimal techniques for anastomoses, no one method has prevailed. Without clear evidence on the best anastomotic technique, surgeons should focus on adhering to good technique and being comfortable with several configurations for a variety of conditions.

Indexed as

anastomotic leakanastomotic techniquebowel anastomosistension-free anastomosis

Identifiers

PMID34853557
PMCPMC8610634

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.