Evidence map›Paper›PMID 40826021›Full record

ArticleBMC gastroenterology2025

Animal study of adhesiolysis via transumbilical endoscopic surgery with gastric endoscopy: an exploration.

Wen Lin, Xiao-Jian He, Dong-Gui Hong, Long-Ping Chen, Yan Zhuang, Mei-Yan Liu, Han Lin, Chuan-Shen Jiang, Da-Zhou Li, Wen Wang

Abstract read
In one paragraph

Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Wen Lin *Department of Gastroenterology, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Xiao-Jian He *Department of Gastroenterology, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Dong-Gui Hong *Department of Gastroenterology, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Long-Ping ChenDepartment of Gastroenterology, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Yan ZhuangDepartment of Gastroenterology, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Mei-Yan LiuDepartment of Gastroenterology, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Han LinDepartment of Gastroenterology, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Chuan-Shen JiangDepartment of Gastroenterology, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China. jiangcs1982@163.com.
Da-Zhou LiDepartment of Gastroenterology, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China. ldz7302999@sina.com.
Wen WangDepartment of Gastroenterology, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China. wangwenfj@163.com.

Funding

Key Discipline Support Special Project of 900th Hospital of PLA Joint Logistic Support Force No. 2023XKXH01Key Discipline Support Special Project of 900th Hospital of PLA Joint Logistic Support Force No. 2023XKXH02Key Discipline Support Special Project of 900th Hospital of PLA Joint Logistic Support Force No. 2023XKXH04Postdoctoral Project of 900th Hospital of PLA Joint Logistic Support Force No. 96823Science and Technology Innovation Joint Fund project of Fujian province No. 2024Y9656the Guiding Project of the Department of Science and Technology of Fujian Province No.2023Y0070
6 · The paper itself

Abstract

BACKGROUND AND

aimsAdhesive intestinal obstruction is a common clinical condition caused by obstruction of the intestinal contents. Adhesiolysis is an effective treatment, but traditional open or laparoscopic adhesiolysis is traumatic and often causes a recurrence of adhesions. In this study, we investigate the feasibility and safety of adhesiolysis via transumbilical endoscopic surgery (TUES) with a gastric endoscopy.

methodsEight beagles were used to establish a model of adhesive intestinal obstruction through open simulated surgery. TUES adhesiolysis with a gastric endoscopy was performed 2 weeks later. The time of adhesiolysis, vital signs of beagles, intraoperative hemorrhage, intraoperative and postoperative complications were recorded and analyzed. Three months later, the abdominal cavity was re-explored to observe whether there were recurrences of adhesions, abdominal infections, and other complications.

resultsThe modeling of all 8 beagles was successfully achieved in the formation of adhesive intestinal obstruction, and the TUES adhesiolysis was successfully completed. The median (interquartile range) time of adhesiolysis was 83(9) minutes. The vital signs of the beagles were stable, and there were no adverse events, including heavy bleeding, perforation, or mortality during the operation. All 8 beagles survived without postoperative complications such as delayed bleeding, peritonitis, intra-abdominal abscess, and abdominal wall incisional hernia three months after adhesiolysis.

conclusionTUES adhesiolysis has been preliminarily proven to be minimally invasive, safe, and effective, which provides a new option for adhesive intestinal obstruction.

Indexed as

GastroscopyIntestinal ObstructionAnimalsDisease Models, AnimalDogsFeasibility StudiesMalePostoperative ComplicationsTissue AdhesionsUmbilicusAdhesiolysisAdhesive intestinal obstructionAnimal modelTransumbilical endoscopic surgery

Identifiers

PMID40826021
PMCPMC12359886

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.