Evidence map›Paper›PMID 35237648›Full record

SynthesisFrontiers in surgery2022

Stapled Transanal Rectal Resection (Starr) in the Treatment of Obstructed Defecation: A Systematic Review.

Lorenzo Ripamonti, Angelo Guttadauro, Giulia Lo Bianco, Maria Rennis, Matteo Maternini, Gerardo Cioffi, Marco Chiarelli, Matilde De Simone, Ugo Cioffi, Francesco Gabrielli

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.0field-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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Guideline
  2. Beyond stapled transanal rectal resectionWorld journal of gastrointestinal surgery · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. 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

10 authors at 4 institutions in 1 country.

Lorenzo RipamontiDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Angelo GuttadauroDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Giulia Lo BiancoDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Maria RennisDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Matteo MaterniniGeneral Surgery Department, Istituti Clinici Zucchi Monza, Monza, Italy.
Gerardo CioffiDepartment of Sciences and Technologies, University of Sannio RCOST, Benevento, Italy.
Marco ChiarelliDepartment of Surgery, Ospedale Alessandro Manzoni, ASST Lecco, Lecco, Italy.
Matilde De SimoneDepartment of Surgery, University of Milan, Milan, Italy.
Ugo CioffiDepartment of Surgery, University of Milan, Milan, Italy.
Francesco GabrielliDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
University of Milano-Bicocca · ITUniversity of Milan · ITAlessandro Manzoni Hospital · ITUniversity of Sannio · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obstructed defecation syndrome (ODS) is a form of constipation that influences the quality of life in most patients and is an important health care issue. In 2004 Longo introduced a minimal invasive trans-anal approach known as Stapled Trans-Anal Rectal Resection (STARR) in order to correct mechanical disorders such as rectocele or rectal intussusception, two conditions present in more than 90% of patients with ODS. Considering the lack of a common view around ODS and STARR procedure. the aim of our study is to review the literature about preoperative assessment, operative features and outcomes of the STARR technique for the treatment of ODS. We performed a systematic search of literature, between January 2008 and December 2020 and 24 studies were included in this review. The total number of patients treated with STARR procedure was 4,464. In conclusion STARR surgical procedure has been proven to be safe and effective in treating symptoms of ODS and improving patients Quality of Life (QoL) and should be taken in consideration in the context of a holistic and multi modal approach to this complex condition. International guidelines are needed in order to optimize the diagnostic and therapeutic process and to improve outcomes.

Indexed as

international guidelinesobstructed defecation syndromeoutcomesQOLstapled trans-anal rectal resectionsurgical procedure

Identifiers

PMID35237648
PMCPMC8882820
OpenAlexW4213048595

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.