Evidence map›Paper›PMID 35124716›Full record

ArticleInternational journal of colorectal disease2022

Ileocolic anastomosis after right hemicolectomy: stapled end-to-side, stapled side-to-side, or handsewn?

Ruben Rajan, Asiri Arachchi, Manisha Metlapalli, Johnny Lo, Ratheesraj Ratinam, Thang Chien Nguyen, William M K Teoh, James Tow-Ting Lim, Hanumant Chouhan

Erratum issuedOpen access · greenAbstract read
PubMed Publisher
In one paragraph

Article in International journal of colorectal disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  6. Stapled End-To-Side Ileocolic Anastomosis in Crohn's Disease: Old Dog, Reliable Tricks? A Retrospective Two-Center Cohort Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Ruben RajanDepartment of Colorectal Surgery, Dandenong Hospital, Monash Health, 135 David Street, Dandenong, Victoria, 3175, Australia. rubenrajan@gmail.com.ORCID http://orcid.org/0000-0002-5616-5328
Asiri ArachchiDepartment of Colorectal Surgery, Dandenong Hospital, Monash Health, 135 David Street, Dandenong, Victoria, 3175, Australia.
Manisha MetlapalliSchool of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia.
Johnny LoSchool of Science, Edith Cowan University, Perth, WA, Australia.
Ratheesraj RatinamDepartment of Colorectal Surgery, Dandenong Hospital, Monash Health, 135 David Street, Dandenong, Victoria, 3175, Australia.
Thang Chien NguyenDepartment of Colorectal Surgery, Dandenong Hospital, Monash Health, 135 David Street, Dandenong, Victoria, 3175, Australia.
William M K TeohDepartment of Colorectal Surgery, Dandenong Hospital, Monash Health, 135 David Street, Dandenong, Victoria, 3175, Australia.
James Tow-Ting LimDepartment of Colorectal Surgery, Dandenong Hospital, Monash Health, 135 David Street, Dandenong, Victoria, 3175, Australia.
Hanumant ChouhanDepartment of Colorectal Surgery, Dandenong Hospital, Monash Health, 135 David Street, Dandenong, Victoria, 3175, Australia.
Monash Health · AUEdith Cowan University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnastomotic leak (AL) following ileocolic anastomosis is a cause of significant morbidity and mortality. Stapled end-to-side (ESA), stapled side-to-side (SSA), and handsewn anastomoses (HSA) are commonly performed techniques. There is however conflicting data on the superiority of one technique over the other. The aim of this study was to compare the outcomes of ESA against SSA and HSA.

methodsThis retrospective cohort study was conducted at a tertiary colorectal unit. All patients who underwent an ileocolic anastomosis from October 2008 to May 2020 were included. Exclusion criteria were missing data on anastomotic technique or clinicopathological variables. Primary outcomes were AL and anastomotic bleeding (AB). Secondary outcomes were length of stay (LoS) and return of gut function.

resultsA total of 1390 patients met the inclusion criteria. A total of 976 (70%) ESA, 308 (22%) SSA, and 108 (8%) HSA were performed. AL occurred in 17/1390 (1.2%) patients, and 54/1390 (3.9%) had AB. On adjusted analysis, ESA experienced a lower AL when compared with SSA (OR 4.93, p = 0.005), with a trend towards a lower AL when compared to HSA (OR 2.6, p = 0.27). There was no difference in AB between all techniques: ESA vs. SSA (OR 1.07 p = 0.84), and ESA vs. HSA (OR 0.24 p = 0.76). Both stapled techniques were associated with a shorter return to gut function compared to HSA; 3.3 vs. 4.2 days (p < 0.001). There was no difference in LoS.

conclusionESA has the lowest leak rate when compared to other anastomotic techniques without any increased risk of anastomotic bleeding.

Indexed as

ColonSurgical StaplingAnastomosis, SurgicalColectomyHumansRetrospective StudiesSuture TechniquesAnastomotic BleedAnastomotic leakIleocolic anastomosisRight Hemicolectomy

Identifiers

PMID35124716
OpenAlexW4210592909

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.