Evidence map›Paper›PMID 40629150›Full record

ArticleSurgery today2025

Clinical factors associated with surgical interventions in patients with intestinal obstruction caused by abdominal tuberculosis.

Shinya Urakawa, Hidemi Nishi, Daishi Yoshimura, Kazuya Sakata, Kimimasa Ikeda, Shoji Hashimoto, Yuki Han, Yoshitaka Tamura, Takayuki Nagai, Satoru Miyazaki

Abstract read
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Article in Surgery today, 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. 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

10 authors.

Shinya UrakawaDepartment of Gastroenterological Surgery, Osaka Habikino Medical Center, 3-7-1 Habikino, Habikino City, Osaka, 583-8588, Japan. urashin.1130@gmail.com.
Hidemi NishiDepartment of Gastroenterological Surgery, Osaka Habikino Medical Center, 3-7-1 Habikino, Habikino City, Osaka, 583-8588, Japan.
Daishi YoshimuraDepartment of Gastroenterological Surgery, Osaka Habikino Medical Center, 3-7-1 Habikino, Habikino City, Osaka, 583-8588, Japan.
Kazuya SakataDepartment of Gastroenterological Surgery, Osaka Habikino Medical Center, 3-7-1 Habikino, Habikino City, Osaka, 583-8588, Japan.
Kimimasa IkedaDepartment of Gastroenterological Surgery, Osaka Habikino Medical Center, 3-7-1 Habikino, Habikino City, Osaka, 583-8588, Japan.
Shoji HashimotoDepartment of Infectious Diseases, Osaka Habikino Medical Center, Osaka, Japan.
Yuki HanDepartment of Infectious Diseases, Osaka Habikino Medical Center, Osaka, Japan.
Yoshitaka TamuraDepartment of Infectious Diseases, Osaka Habikino Medical Center, Osaka, Japan.
Takayuki NagaiDepartment of Infectious Diseases, Osaka Habikino Medical Center, Osaka, Japan.
Satoru MiyazakiDepartment of Gastroenterological Surgery, Osaka Habikino Medical Center, 3-7-1 Habikino, Habikino City, Osaka, 583-8588, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAbdominal tuberculosis (TB), including Intestinal TB (ITB) and peritoneal TB (PTB), can cause intestinal strictures, leading to obstructions. However, the surgical indications for TB-related intestinal obstructions are yet to be established. This study investigates the clinical factors associated with these surgical interventions.

methodsEighty-eight consecutive patients with ITB or PTB were enrolled in this study. The severity of abdominal TB was evaluated by the number of computed tomography (CT) findings of ascites, peritoneal nodules > 10 mm, intestinal wall thickening, and peritoneal or omental thickening.

resultsIntestinal obstructions were diagnosed in 25 patients. The median duration of non-operative management was 11 (2-35) days, and 10 of the 25 patients required surgical intervention after non-operative management. The surgery group had a higher frequency of more CT features (70% vs. 13.3%, P = 0.0038) and a lower frequency of antitubercular therapy (ATT; 50% vs. 100%, P = 0.0075) than the non-surgery group. The severity of lung TB had no impact on the need for surgery and there was discrepancy between the chest and abdominal CT findings.

conclusionLong-term non-operative management may be required for abdominal TB and the need for surgical intervention is associated with the ATT and CT findings.

Indexed as

Intestinal ObstructionTuberculosis, GastrointestinalAdultAgedAntitubercular AgentsFemaleHumansMaleMiddle AgedPeritonitis, TuberculousSeverity of Illness IndexTime FactorsTomography, X-Ray ComputedYoung AdultAntitubercular AgentsAbdominal tuberculosisAntitubercular therapyComputed tomographyIntestinal obstructionSurgical intervention

Identifiers

PMID40629150

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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.