Evidence map›Paper›PMID 36259040›Full record

ReviewCureus2022

Recurrence of Small Bowel Obstruction in Adults After Operative Management of Adhesive Small Bowel Obstruction: A Systematic Review.

Nishok Victory Srinivasan, Aujala Irfan Khan, Ghadi D Mashat, Mohammad Hazique, Kokab Irfan Khan, Prasana Ramesh, Suthasenthuran Kanagalingam, Fnu Zargham Ul Haq, Sai Sri Penumetcha

Abstract readReview
In one paragraph

Review in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

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

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

9 authors.

Nishok Victory SrinivasanGeneral Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Aujala Irfan KhanResearch, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Ghadi D MashatPediatrics, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Mohammad HaziqueInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Kokab Irfan KhanResearch, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Prasana RameshInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Suthasenthuran KanagalingamInternal Medicine/Family Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Fnu Zargham Ul HaqMedicine and Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Sai Sri PenumetchaInternal Medicine, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, India, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this article is to review the existing literature on postoperative recurrence of adhesive small bowel obstruction (ASBO). We performed a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, searching PubMed, Cochrane Library, and Google Scholar, to identify randomized controlled trials (RCTs) and observational studies investigating recurrence after operative management of ASBO. Our search yielded one RCT, one prospective study, and eight retrospective studies, totaling 36,178 patients. We used Cochrane risk-of-bias tool and the Newcastle-Ottawa scale to assess the risk of bias in the reviewed studies (RCTs and observational studies, respectively). Operative management was associated with a lower risk of recurrence than conservative management, while the difference in recurrence between laparoscopic and open surgery was inconclusive. Diffuse adhesions were associated with a greater risk of recurrence than single band adhesions. We conclude that the "common knowledge" that surgery increases the risk for recurrence of ASBO is outdated and should no longer be applied when determining treatment modalities for ASBO. While conservative treatment still has its place, we need not fear the possibility of shifting patients to operative management earlier.

Indexed as

adhesiolysisadhesive small bowel obstructionconservative and surgical treatmentopen and laparoscopic surgeryrecurrent small bowel obstructionsmall-bowel obstruction

Identifiers

PMID36259040
PMCPMC9561403

What OpenQuestion holds

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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.