Evidence map›Paper›PMID 42092745›Full record

Trial reportColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2026

The ILEOSTIM trial: A multicentre randomised controlled trial evaluating the impact of efferent loop stimulation prior to ileostomy reversal on postoperative ileus.

Jorge Arredondo, Adriana Uriz, Irene Oliva, José I Martín, Christian N Iglesias, Ekta Choolani, Ainhoa Valle, Javier Rivera, Sebastián Jerí-McFarlane, Juan M Romero and 13 more

2 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this 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.

NCT05302557 naunknown statusnot on this map

Efferent Loop Stimulation Previous to Ileostomy Closure. Ileostim Trial.

TypeinterventionalSponsorUniversidad de LeónRan2021 to 2024Enrolled68ConditionsIleostomy - Stoma, Ileus, Rectal Cancer, Surgical ComplicationArmsIleostomy stimulation
NCT07640113 nanot yet recruitingnot on this map

The STIMIC Trial: A Multicenter Randomized Control Trial Evaluating the Impact of Ambulatory Physiological Stimulation of the Efferent Limb Prior to Ileostomy Closure on Colorectal Microbiota Composition and Histopathological Findings

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2026 to 2028Enrolled90ConditionsIleostomy Stoma, Stoma Stimulation, Microbiome AnalysisArmsSerum stimulation, Physiological stimulation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. The ILEOSTIM trial: A multicentre randomised controlled trial evaluating the impact of efferent loop stimulation prior to ileostomy reversal on postoperative ileus.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Trial
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

23 authors.

Jorge ArredondoDepartment of General Surgery, Clínica Universidad de Navarra, Pamplona, Spain.
Adriana UrizDepartment of General Surgery, Clínica Universidad de Navarra, Pamplona, Spain.ORCID https://orcid.org/0009-0001-2798-5204
Irene OlivaDepartment of General Surgery, Hospital Universitario de León, León, Spain.
José I MartínDepartment of General Surgery, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Christian N IglesiasDepartment of General Surgery, Hospital Universitario de Cabueñes, Gijón, Spain.ORCID https://orcid.org/0000-0001-9410-6727
Ekta ChoolaniDepartment of General Surgery, Hospital Universitario Río Hortega, Valladolid, Spain.
Ainhoa ValleDepartment of General Surgery, Hospital Universitario de Getafe, Madrid, Spain.
Javier RiveraDepartment of General Surgery, Hospital Universitario de Canarias, Tenerife, Spain.
Sebastián Jerí-McFarlaneDepartment of General Surgery, Hospital Universitario Son Espases, Palma de Mallorca, Spain.
Juan M RomeroDepartment of General Surgery, Hospital Universitari Mútua Terrasa, Barcelona, Spain.
Carolina GonzálezDepartment of General Surgery, Hospital Universitario La Paz, Madrid, Spain.
Alicia AlvarellosDepartment of General Surgery, Clínica Universidad de Navarra, Madrid, Spain.
Marta TasendeDepartment of General Surgery, Hospital Universitario Son Llatzer, Palma de Mallorca, Spain.
Lourdes GómezDepartment of General Surgery, Hospital Nuestra Señora del Prado, Talavera de la Reina, Spain.
Laura LázaroDepartment of General Surgery, Hospital Universitari Dexeus, Barcelona, Spain.
Blanca MontcusíDepartment of General Surgery, Hospital del Mar, Barcelona, Spain.
Patricia TejedorDepartment of General Surgery, Hospital Universitario Gregorio Marañón, Madrid, Spain.
Jeancarlos Trujillo-DíazDepartment of General Surgery, Hospital Medina del Campo, Valladolid, Spain.ORCID https://orcid.org/0000-0001-9889-7116
Alicia Ruiz de la HermosaDepartment of General Surgery, Hospital Universitario Infanta Leonor, Madrid, Spain.
Jorge BaixauliDepartment of General Surgery, Clínica Universidad de Navarra, Pamplona, Spain.
Jorge M Núñez-CórdobaResearch Support Service, Central Clinical Trials Unit, Clínica Universidad de Navarra, Pamplona, Spain.
Daniel AlisedaDivision of General Surgery, Department of Surgery, Stanford University, Stanford, California, USA.
ILEOSTIM Trial Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStrategies to optimise bowel function before stoma reversal surgery (SRS) are needed to improve postoperative outcomes. Efferent bowel stimulation (EBS) prior to stoma closure has been proposed as a potential strategy to reduce postoperative ileus (POI) incidence and improve the patient's postoperative course.

methodsA multicentre randomised controlled trial was designed to evaluate the effectiveness of pre-SRS EBS in reducing POI incidence. Patients scheduled for elective SRS were randomised 1:1 to either an intervention group, receiving daily EBS with saline and a nutritional thickener for 2 weeks preoperatively, or a control group, undergoing SRS without stimulation. The primary endpoint was POI incidence. Secondary outcomes included the time to oral diet tolerance, passage of first flatus/stool, surgery-related comorbidities, length of hospital stay and incidence of Low Anterior Resection Syndrome (LARS) (NCT05302557-31/03/2022).

resultsFrom June 2021 to April 2023, 175 patients were enrolled from 18 hospitals in Spain, 78 (44.5%) and 97 (55.4%) of whom were allocated to the intervention and control groups, respectively. We found that EBS was not significantly associated with a decrease in POI incidence (7.6% vs. 16.4%, p = 0.088). No significant differences in the median hospital stay (p = 0.545) or LARS at discharge (p = 0.087) were observed between the two groups. The EBS group showed fewer but more severe complications (p = 0.015).

conclusionPreoperative EBS is a feasible and reproducible intervention that may represent a potential strategy to reduce POI following SRS.

Indexed as

IleostomyIleumIleusLow Anterior Resection SyndromePostoperative ComplicationsPreoperative CareAgedAged, 80 and overElective Surgical ProceduresFemaleHumansIncidenceLength of StayMaleMiddle AgedRectal NeoplasmsSaline Solutionbowel stimulationileostomy reversalloop ileostomy closurepostoperative ileus

Identifiers

PMID42092745
PMCPMC13150047

What OpenQuestion holds

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Registered trials

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.