Evidence map›Paper›PMID 35804224›Full record

SynthesisUpdates in surgery2022

Serial transverse enteroplasty (STEP) in case of short bowel syndrome: did we achieve our goal? A systematic review.

A Lauro, A Santoro, R Cirocchi, M Michelini, N Zorzetti, M C Cianci, M I Bellini, C Casadei, M C Ripoli, R Coletta and 4 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Updates in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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

14 authors at 7 institutions in 2 countries.

A LauroDepartment of Surgical Sciences, Sapienza University of Rome, Rome, Italy. augusto.lauro@uniroma1.it.
A SantoroDepartment of Surgical Sciences, Sapienza University of Rome, Rome, Italy.
R CirocchiDepartment of Surgery and Biomedical Sciences, University of Perugia, Perugia, Italy.
M MicheliniDepartment of Surgery and Biomedical Sciences, University of Perugia, Perugia, Italy.
N ZorzettiOspedale Civile "A. Costa", Porretta Terme, Bologna, Italy.
M C CianciDepartment of Paediatric Surgery, Meyer Children's Hospital, University of Florence, Florence, Italy.
M I BelliniAzienda Ospedaliera "San Camillo-Forlanini", Rome, Italy.
C CasadeiIRCCS Azienda Ospedaliero, Universitaria Di Bologna, Bologna, Italy.
M C RipoliOspedale "Ceccarini", Riccione, Rimini, Italy.
R ColettaDepartment of Paediatric Surgery, Meyer Children's Hospital, University of Florence, Florence, Italy.
S KhouzamSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
I R MarinoSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
V D'AndreaDepartment of Surgical Sciences, Sapienza University of Rome, Rome, Italy.
A MorabitoDepartment of Paediatric Surgery, Meyer Children's Hospital, University of Florence, Florence, Italy.
Sapienza University of Rome · ITUniversity of Florence · ITThomas Jefferson University · USUniversity of Perugia · ITAzienda Ospedaliera San Camillo-Forlanini · ITAzienda USL di Bologna · ITOspedale Infermi di Rimini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surveys on Serial Transverse Enteroplasty (STEP) published in international literature (1 January 2003- 31 May 2021) were searched. Articles were included from 17 countries: 1/23 comparative and 22/23 cohort studies. STEP was performed on 308 patients: pediatrics, adults, and mixed ages. Pediatric group included 16 studies and the adult 6. Pre-STEP residual small bowell (SB) length for pediatrics and adults ranged from 18 to 26 cm and from 30 to 70 cm, respectively. Post-STEP increased SB length for pediatrics and adults ranged between 42 and 100% and 50% and 176%, respectively. For pediatrics, enteral autonomy was reached in 32.22% of cases, parenteral nutrition (PN) dependence was 36.11%, a repeated STEP procedure (Re-STEP) was needed in 17.22%, and a bowel transplant was performed in 6.11%. In adults, enteral autonomy was achieved in 52.38%, while PN dependence was 37.1%, and no Re-STEP or transplantation were required. For the mixed group, post-STEP bowel length increased from 2 to 50 cm, enteral autonomy was obtained in 43%, PN dependence was 57%, without reported Re-STEP or transplantation. Mortality rates were between 5.55% (pediatric) and 7.14% (adults). Preoperative length with preservation of ileocecal valve represented the main predictive factors to achieve enteral autonomy.

Indexed as

Digestive System Surgical ProceduresShort Bowel SyndromeAdultChildGoalsHumansParenteral NutritionRetrospective StudiesTreatment OutcomeSerial transverse enteroplastyShort bowel syndromeSmall bowel surgerySystematic review

Identifiers

PMID35804224
OpenAlexW4284964294

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.