Evidence map›Paper›PMID 37373843›Full record

ReviewJournal of clinical medicine2023

The Efficacy of Probiotics, Prebiotics, and Synbiotics in Patients Who Have Undergone Abdominal Operation, in Terms of Bowel Function Post-Operatively: A Network Meta-Analysis.

Orestis Ioannidis, Christos Chatzakis, Maria Tirta, Elissavet Anestiadou, Konstantinos Zapsalis, Savvas Symeonidis, Stefanos Bitsianis, Efstathios Kotidis, Manousos George Pramateftakis, Ioannis Mantzoros and 1 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Probiotics in Postoperative Pain Management.Journal of personalized medicine · 2023
    Review
  4. 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

11 authors.

Orestis IoannidisFourth Surgical Department, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.ORCID 0000-0002-0861-8783
Christos ChatzakisSecond Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.ORCID 0000-0002-5895-6887
Maria TirtaDepartment of Hygiene, Epidemiology and Medical Statistics, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Elissavet AnestiadouFourth Surgical Department, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.ORCID 0000-0001-5650-7319
Konstantinos ZapsalisFourth Surgical Department, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Savvas SymeonidisFourth Surgical Department, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Stefanos BitsianisFourth Surgical Department, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Efstathios KotidisFourth Surgical Department, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Manousos George PramateftakisFourth Surgical Department, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Ioannis MantzorosFourth Surgical Department, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Stamatios AngelopoulosFourth Surgical Department, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbdominal operations may lead to post-operative bowel dysfunction, while administration of probiotics, prebiotics and synbiotics may limit its manifestation. Τhe study aimed to assess the efficacy of probiotics, prebiotics and synbiotics in patients who undergone abdominal operation, in terms of bowel function post-operatively.

methodsPubMed, Scopus, Cochrane Central Register of Controlled Trials (Central), Embase, US Registry of clinical trials, and sources of grey literature were searched. The relative effect sizes were estimated, and we obtained the relative ranking of the interventions using cumulative ranking curves.

resultsIn total, 30 studies were included in the analysis. For the outcome of post-operative ileus, probiotics was superior to placebo/no intervention (relative risk, RR: 0.38; 95%CI: 0.14-0.98) with the highest SUCRA (surface under the cumulative ranking) value (92.1%). For time to first flatus, probiotics (MD: -0.47; 95%CI: -0.78 to -0.17) and synbiotics (MD: -0.53; 95%CI: -0.96 to -0.09) were superior to placebo/no intervention. For time to first defecation and for post-operative abdominal distension probiotics were superior to placebo/no intervention. For post-operative hospitalization days, synbiotics were superior to placebo/no intervention (MD: -3.07; 95%CI: -4.80 to -1.34).

conclusionsAdministration of probiotics in patients who had undergone abdominal surgery reduced the prevalence of post-operative ileus, time to first flatus, time to first defecation, and prevalence of post-operative abdominal distension. Synbiotics reduce time to first flatus and post-operative hospitalization days.

Indexed as

abdominal operationbowel functionprebioticsprobioticssynbiotics

Identifiers

PMID37373843
PMCPMC10299319

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Registered trials

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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.