Evidence map›Paper›PMID 40010852›Full record

Observational studyCanadian journal of surgery. Journal canadien de chirurgie

Post-transanal endoscopic microsurgery (TEM) syndrome: a constellation of symptoms resulting from localized inflammatory changes after TEM.

Reagan L Robertson, Garrett G R J Johnson, Ashley Vergis, Ahmer Karimuddin, Terry Phang, Manoj Raval, Carl Brown

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Canadian journal of surgery. Journal canadien de chirurgie. 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
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0citing papers in PubMed
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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

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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

7 authors.

Reagan L RobertsonDepartment of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, BC.
Garrett G R J JohnsonDepartment of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, BC.
Ashley VergisDepartment of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, BC.
Ahmer KarimuddinDepartment of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, BC.
Terry PhangDepartment of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, BC.
Manoj RavalDepartment of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, BC.
Carl BrownDepartment of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, BC. cbrown@providencehealth.bc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransanal endoscopic microsurgery (TEM) is a safe and effective therapy for local excision of rectal lesions, but early postoperative infectious and inflammatory complications are variably defined in the literature. The aim of this study was to describe post-TEM syndrome, a cluster of postoperative symptoms related to a local inflammatory process seen in a subset of patients after TEM.

methodsWe conducted a retrospective cohort study using prospectively collected observational data of all patients who underwent TEM at St. Paul's Hospital in Vancouver, British Columbia, between 2006 and 2017.

resultsDuring the study period, 795 patients were treated by TEM at the study institution. Of these, 56 patients had postoperative pain or fever and 26 patients were determined to have post-TEM syndrome based on our definition. Sixteen patients presented within the first 2 postoperative days, with all patients presenting within 1 week. All patients who underwent cross-sectional imaging (

conclusionWe provided a description of post-TEM syndrome, the constellation of symptoms arising from a localized inflammatory response in a subset of patients after TEM. This syndrome is uncommon, and nearly all patients recovered with conservative management without a need for more invasive intervention.

Indexed as

InflammationPostoperative ComplicationsRectal NeoplasmsTransanal Endoscopic MicrosurgeryAdultAgedAged, 80 and overBritish ColumbiaFemaleHumansMaleMiddle AgedPostoperative PainRetrospective StudiesSyndrome

Identifiers

PMID40010852
PMCPMC11879369

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