Evidence map›Paper›PMID 37568176›Full record

SynthesisBMC surgery2023

Complications of preventive loop ileostomy versus colostomy: a meta-analysis, trial sequential analysis, and systematic review.

Zheng Ge, Xiang Zhao, Zitian Liu, Guangwei Yang, Qunzheng Wu, Xiaoyang Wang, Xiang Zhang, Zhiqiang Cheng, Kexin Wang

Open access · goldAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Surgical Outcomes in Laparoscopic vs Open Diverting Colostomy for Radiation-Related Rectovaginal Fistula.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Observational
  11. Preferences for treatment outcomes in rectal cancer: A discrete choice experiment among patients and healthy volunteers.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Article
  12. Article
  13. Article
  14. 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 at 2 institutions in 1 country.

Zheng Ge *Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
Xiang Zhao *Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
Zitian LiuCheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
Guangwei YangCheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
Qunzheng WuDepartment of General Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Xiaoyang WangDepartment of General Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Xiang ZhangDepartment of General Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Zhiqiang ChengDepartment of General Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China. hill988276@sina.com.
Kexin WangDepartment of General Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Qilu Hospital of Shandong University · CNShandong University · CN

Funding

National Natural Science Foundation of China No. 82070852/H0713
6 · The paper itself

Abstract

backgroundPreventive colostomy is required for colorectal surgery, and the incidence of complications associated with ileostomy and colostomy remains controversial. This study aimed to compare the incidence of postoperative complications between ileostomy and colostomy procedures.

methodsData analysis was conducted on 30 studies, and meta-analysis and trial sequential analysis (TSA) were performed on five studies. The basic indicators, such as stoma prolapse, leak, wound infection, ileus, and a series of other indicators, were compared.

resultsNo statistically significant differences were observed with complications other than stoma prolapse. Meta-analysis and TSA showed that the incidence of ileostomy prolapse was lower than that of colostomy prolapse, and the difference was statistically significant. Apart from the four complications listed above, the general data analysis showed differences in incidence between the two groups. The incidence of skin irritation, parastomal hernia, dehydration, pneumonia, and urinary tract infections was higher with ileostomy than with colostomy. In contrast, the incidence of parastomal fistula, stenosis, hemorrhage, and enterocutaneous fistula was higher with colostomy than with ileostomy.

conclusionsThere were differences in the incidence of ileostomy and colostomy complications in the selected studies, with a low incidence of ileostomy prolapse. PROSPERO REGISTRATION NUMBER: CRD42022303133.

Indexed as

ColostomyIleostomyAnastomosis, SurgicalHumansPostoperative ComplicationsProlapseComplicationPreventive loop colostomyPreventive loop ileostomyProlapse

Identifiers

PMID37568176
PMCPMC10422751
OpenAlexW4385752590

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.