Evidence map›Paper›PMID 35207190›Full record

ReviewJournal of clinical medicine2022

The Dilemma of the Level of the Inferior Mesenteric Artery Ligation in the Treatment of Diverticular Disease: A Systematic Review of the Literature.

Roberto Cirocchi, Giulio Mari, Bruno Amato, Giovanni Domenico Tebala, Georgi Popivanov, Stefano Avenia, Riccardo Nascimbeni

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

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. The Colorectal Anastomosis: A Timeless Challenge.Clinics in colon and rectal surgery · 2023
    Review
  6. Review
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

7 authors at 5 institutions in 3 countries.

Roberto CirocchiDepartment of Medicine and Surgery, University of Perugia, 06100 Perugia, Italy.ORCID 0000-0002-2457-0636
Giulio MariGeneral Surgery Department, ASST Monza, Desio Hospital, Lombardia, 20833 Desio, Italy.
Bruno AmatoDepartment of Clinical Medicine and Surgery, University Federico II of Naples, 80131 Naples, Italy.
Giovanni Domenico TebalaSurgical Emergency Unit, John Radcliffe Hospital, Oxford University NHS Foundation Trust, Oxford OX3 7LE, UK.
Georgi PopivanovDepartment of Surgery, Military Medical Academy, "Sv. Georgi Sofiiski" 3 Str., 1606 Sofia, Bulgaria.ORCID 0000-0001-9618-3187
Stefano AveniaDepartment of Medicine and Surgery, University of Perugia, 06100 Perugia, Italy.
Riccardo NascimbeniDepartment of Molecular and Translational Medicine, University of Brescia, 25124 Brescia, Italy.
University of Perugia · ITJohn Radcliffe Hospital · GBMilitary Medical Academy · BGUniversity of Brescia · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimAlthough sigmoidectomy is a well-standardized procedure for diverticular disease, there are still unclear areas related to the varying morphology and vascular supply of the sigmoid colon. The level of vascular ligation could affect the functional outcomes of patients operated on for diverticular disease. The aim of this review is to primarily evaluate sexual, urinary and defecatory function outcomes, as well as postoperative results, in patients who underwent surgery for diverticular disease, with or without inferior mesenteric artery (IMA) preservation. MATERIALS AND

methodsThe MEDLINE/PubMed, WOS and Scopus databases were interrogated. Comparative studies including patients who underwent sigmoidectomy for diverticular diseases were considered. Bowel function, genitourinary function, anastomotic leak, operation time, conversion to open surgery, anastomotic bleeding, bowel obstruction were the main items of interest.

resultsTwelve studies were included in the review, three randomized and nine comparative studies. Bowel and genitourinary function are not differently affected by the level of vascular ligation. The site of ligation of IMA did not influence the rate of functional complications, anastomotic leak and bleeding. Of note, the preservation of IMA is associated with a higher conversion rate and longer operative time.

conclusionsDespite the heterogeneity of patient groups, and although the findings should be interpreted with caution, functional and clinical outcomes after sigmoidectomy for diverticular disease do not seem to be affected by the level of vascular ligation as long as the IMA is ligated far from its origin.

Indexed as

diverticular diseaseIMAoutcomesvascular ligation

Identifiers

PMID35207190
PMCPMC8880703
OpenAlexW4211145654

What OpenQuestion holds

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LicenceCC BY
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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.