Evidence map›Paper›PMID 41185815›Full record

ArticleCureus2025

A Creative Solution for a Difficult Case: Endoluminal Negative Pressure Therapy for the Management of Colorectal Anastomotic Leak.

Maziar Fazel Darbandi, Jessica Shanahan, David Hochman, Farhana Shariff

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. 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

4 authors.

Maziar Fazel DarbandiSurgery, University of Manitoba, Winnipeg, CAN.
Jessica ShanahanSurgery, University of Manitoba, Winnipeg, CAN.
David HochmanSurgery, University of Manitoba, Winnipeg, CAN.
Farhana ShariffSurgery, University of Manitoba, Winnipeg, CAN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rectal anastomotic leaks can lead to significant morbidity with potentially devastating consequences for patients' intestinal continuity and quality of life, which are challenging to manage. With a growing interest in endoluminal negative pressure therapy (eNPT), which was first described for use in esophageal anastomotic leaks, the technique has been more recently adapted to colorectal anastomoses. We discuss a case of a patient with rectal cancer, who underwent total neoadjuvant therapy, ultralow anterior resection, and diverting loop ileostomy. The patient suffered an anastomotic leak and presacral abscess. Attempts at conventional management to control pelvic sepsis were unsuccessful. We present the novel creation of an eNPT device (a manufactured one is not readily available in Canada), which allowed control of sepsis, substantial reduction in abscess size, and safe discharge home for the patient. This experience suggests this is a safe and feasible treatment alternative for this challenging problem.

Indexed as

anastomotic leakcolorectal anastomotic leakcolorectal cancerendoluminal negative pressure therapynegative pressure wound therapypresacral abscess

Identifiers

PMID41185815
PMCPMC12579906

What OpenQuestion holds

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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.