Evidence map›Paper›PMID 39257476›Full record

ArticleJournal of surgical case reports2024

Challenges associated with low rectal malignant obstruction stenting: a case report.

Victor Cabrera-Bou, Eddy P Lincango, Alessandra E Cabrera, Gabriel Diaz-Pagan, Nathan Kostick, Noah Sobel, Luis F Serrano, Philip Kondylis

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Victor Cabrera-BouSurgery Department, University of Central Florida, 4000 Central Florida Blvd, Orlando, FL 32816, United States.
Eddy P LincangoSurgery Department, University of Central Florida, 4000 Central Florida Blvd, Orlando, FL 32816, United States.
Alessandra E CabreraSurgery Department, University of Central Florida, 4000 Central Florida Blvd, Orlando, FL 32816, United States.
Gabriel Diaz-PaganSurgery Department, University of Central Florida, 4000 Central Florida Blvd, Orlando, FL 32816, United States.
Nathan KostickSurgery Department, University of Central Florida, 4000 Central Florida Blvd, Orlando, FL 32816, United States.
Noah SobelSurgery Department, University of Central Florida, 4000 Central Florida Blvd, Orlando, FL 32816, United States.
Luis F SerranoSurgery Department, University of Central Florida, 4000 Central Florida Blvd, Orlando, FL 32816, United States.
Philip KondylisSurgery Department, University of Central Florida, 4000 Central Florida Blvd, Orlando, FL 32816, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An ongoing debate exists regarding the feasibility of placing self-expanding metallic stents (SEMS) within 5 cm of the anal verge. Traditionally, SEMS have been considered contraindicated for patients with a malignant rectal obstruction within this region due to potential impact on the anorectal ring or anal canal, which can cause incontinence, proctalgia, and tenesmus. However, in the case of a 63-year-old female who presented with distention, abdominal pain, and diminishing stool output, the rectal exam identified a bulky fixed mass. Imaging studies revealed large bowel obstruction and high-grade stricture, with a minuscule residual lumen. Endoscopy identified a bulky mass obscuring the lumen at 5 cm from the anal verge, and biopsy confirmed adenocarcinoma. Despite the traditionally held contraindication, a 2.5 cm × 9.0 cm colonic stent was successfully deployed, leading to brisk colonic decompression. This allowed the patient to promptly undergo chemoradiotherapy.

Indexed as

anal adenocarcinomaanorectal ringself-expanding metallic stents

Identifiers

PMID39257476
PMCPMC11387049

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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.