Evidence map›Paper›PMID 40249397›Full record

Observational studyPediatric surgery international2025

Subtotal colectomy with ileorectal anastomosis (SCIRA) in pediatric intestinal pseudo-obstruction (PIPO): a viable option for patients with frequent enterostomy-related complications?

Anne E Petersen, Merit Tabbers, Marc A Benninga, Joep P M Derikx, Ramon R Gorter, Justin R de Jong

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

Observational study in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review of nutrition management of pediatric intestinal pseudo-obstruction.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    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

6 authors.

Anne E PetersenDepartment of Pediatric Surgery, Emma Children's Hospital, Amsterdam University Medical Centers, University of Amsterdam, Location AMC, Mailbox H7-270, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. a.e.petersen@amsterdamumc.nl.
Merit TabbersAmsterdam Gastroenterology Endocrinology Metabolism Research Institute, Amsterdam, The Netherlands.
Marc A BenningaDepartment of Pediatric Gastroenterology and Nutrition, Emma Children's Hospital, Amsterdam University Medical Centers, University of Amsterdam, Location AMC, Amsterdam, The Netherlands.
Joep P M DerikxDepartment of Pediatric Surgery, Emma Children's Hospital, Amsterdam University Medical Centers, University of Amsterdam, Location AMC, Mailbox H7-270, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Ramon R GorterDepartment of Pediatric Surgery, Emma Children's Hospital, Amsterdam University Medical Centers, University of Amsterdam, Location AMC, Mailbox H7-270, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Justin R de JongDepartment of Pediatric Surgery, Emma Children's Hospital, Amsterdam University Medical Centers, University of Amsterdam, Location AMC, Mailbox H7-270, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate the clinical outcomes of subtotal colectomy with ileorectal anastomosis (SCIRA) as an alternative treatment strategy for patients with pediatric intestinal pseudo-obstruction (PIPO) who experienced frequent enterostomy-related complications.

methodsThis retrospective observational study included PIPO patients who underwent SCIRA at our tertiary referral center between 2018 and 2023. Main outcomes were postoperative complications, surgical reinterventions, and the need for enterostomy replacement.

resultsFive patients underwent SCIRA, including four males and one female, at a median age of 14 years (range 6-20). Before SCIRA, all patients had an enterostomy and a history of multiple enterostomy-related complications, requiring a median of nine surgical reinterventions (range 2-13). After SCIRA, the median number of complications was 1 (range 0-2), and the median number of surgical reinterventions was 1 (range 0-2). None of the patients required replacement of their enterostomy. Median follow-up duration was 49 months (range 32-58).

conclusionFollowing SCIRA, a low number of complications and reinterventions was observed, indicating that SCIRA may be a viable option for PIPO patients with frequent enterostomy-related complications. This approach may help to reduce the need for multiple surgical procedures in this challenging patient population.

Indexed as

ColectomyEnterostomyIleumIntestinal Pseudo-ObstructionPostoperative ComplicationsRectumAdolescentAnastomosis, SurgicalChildFemaleHumansMaleRetrospective StudiesTreatment OutcomeYoung AdultEnterostomyOutcomesPediatricPseudo-obstructionSubtotal colectomy

Identifiers

PMID40249397
PMCPMC12008059

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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.