Evidence map›Paper›PMID 41714989›Full record

Trial reportBMC gastroenterology2026

Effectiveness of intraoperative stay sutures and postoperative anal dilatation in preventing anastomotic stricture after low rectal cancer resection with defunctioning stoma.

Dan Wei, Peng Jiang, Pei-Ming Sun, Jian-Wu Yang, Li-Ping Xia, Peng-Yan Song, Ben-Teng Li, Yan Zhao

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC gastroenterology, 2026. 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

8 authors.

Dan Wei *Department of General Surgery, The Ninth Medical Center of the PLA General Hospital, No. 9, Anxiang Beili, Chaoyang District, Beijing, 100101, China.
Peng Jiang *Health Team of Comprehensive Training Brigade of Information Support Force, Beijing, 100195, China.
Pei-Ming SunDepartment of General Surgery, The Ninth Medical Center of the PLA General Hospital, No. 9, Anxiang Beili, Chaoyang District, Beijing, 100101, China.
Jian-Wu YangDepartment of General Surgery, The Ninth Medical Center of the PLA General Hospital, No. 9, Anxiang Beili, Chaoyang District, Beijing, 100101, China.
Li-Ping XiaDepartment of General Surgery, The Ninth Medical Center of the PLA General Hospital, No. 9, Anxiang Beili, Chaoyang District, Beijing, 100101, China.
Peng-Yan SongDepartment of General Surgery, The Ninth Medical Center of the PLA General Hospital, No. 9, Anxiang Beili, Chaoyang District, Beijing, 100101, China.
Ben-Teng LiDepartment of General Surgery, The Ninth Medical Center of the PLA General Hospital, No. 9, Anxiang Beili, Chaoyang District, Beijing, 100101, China. libentenglbtcc@126.com.
Yan ZhaoDepartment of General Surgery, The Ninth Medical Center of the PLA General Hospital, No. 9, Anxiang Beili, Chaoyang District, Beijing, 100101, China. zyzhaoyank@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAnastomotic stricture (AS) is a common complication following low-level anastomosis of the colon and rectum in rectal cancer (RC) surgery. The aim of this study is to evaluate whether intraoperative stay sutures combined with postoperative anal dilatation reduce the incidence of AS after low anterior resection with defunctioning stoma.

methodsA total of 240 patients with low RC who underwent treatment at the Ninth Medical Center of the PLA General Hospital between February 2019 and May 2024 were randomly assigned to four groups (n = 60 each): one experimental group and three control groups (A, B, and C). The experimental group underwent intraoperative placement of stay sutures at the anastomotic site under anoscopic guidance during low anterior resection with defunctioning stoma, with 3 to 4 radial transanastomotic sutures placed across the anastomotic line. Postoperative anal dilatation was initiated two weeks after surgery. Control group A received only intraoperative stay sutures; control group B received only postoperative anal dilatation; control group C received neither intervention. The incidence of AS was evaluated 1 to 2 months postoperatively, with follow-up continuing from 2 months to 1 year.

resultsThe incidence of AS was 0% in the experimental group, 2% in control group A, 7% in control group B, and 48% in control group C.

conclusionThe combined use of intraoperative stay suture placement and postoperative anal dilatation was effective in preventing AS following low anterior resection with defunctioning stoma in patients with RC. Intraoperative stay sutures also provided additional benefits in reinforcing anastomosis and achieving hemostasis. Owing to its simplicity, safety and clinical utility, this strategy may be considered for broader application in surgical practice.

Indexed as

DilatationPostoperative ComplicationsRectal NeoplasmsSuturesSuture TechniquesAgedAnal CanalAnastomosis, SurgicalColorectal Surgical ProceduresConstriction, PathologicFemaleHumansIncidenceMaleMiddle AgedSurgical StomasAnal dilatationAnastomotic strictureDefunctioning stomaLow rectal cancerStay suture placement

Identifiers

PMID41714989
PMCPMC13020224

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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.