Observational studyBMC surgery2026
Selective temporary protective loop ileostomy in complex rectal resection for deep infiltrating endometriosis: a prospective matched cohort study on bowel function, quality of life, and postoperative complications.
Observational study in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to evaluate the impact of temporary protective loop ileostomy (PLI) on postoperative complications, bowel function, and quality of life (QoL) in women undergoing rectal surgery for deep infiltrating endometriosis (DIE) requiring concomitant vaginal and rectal repair.
methodsIn this prospective observational cohort study conducted at Baghdad Teaching Hospital, Medical City, and Kamal Al-Samarrai Hospital (April 2023-April 2024), 230 women underwent colorectal endometriosis surgery. From this population, 42 women with technically feasible colorectal anastomoses were selected; 21 who received a temporary protective loop ileostomy (PLI) were matched 1:1 by age and key risk factors to 21 women without PLI (WPLI). Postoperative outcomes, including the Memorial Sloan Kettering Cancer Center Bowel Function Instrument (MSKCC-BFI score) and QoL (EHP-5 score), were assessed using validated Arabic versions of psychometric instruments at baseline and one year postoperatively. Surgical complications were classified per Clavien-Dindo criteria.
resultsBoth groups demonstrated significant improvement in pain symptoms, bowel function, and QoL at 12-month follow-up (p < 0.05). Observed differences in postoperative bowel function (MSKCC-BFI: 86.4 ± 4.3 vs. 88.2 ± 4.4; p > 0.05) and EHP-5 scores (28.1 ± 5.3 vs. 31.3 ± 4.3; p > 0.05) should be interpreted as exploratory trends given limited power. Postoperative complication rates (9.5% vs. 14.3%; p = 0.211) suggest a possible pattern.
conclusionsIn women with DIE and technically feasible colorectal anastomoses, selective use of temporary protective loop ileostomy was not associated with significant detriment to bowel function or QoL in this small matched cohort and may be linked to lower rates of severe anastomotic complications. Given the limited sample size and observational design, these findings should be considered preliminary. Larger, adequately powered randomized trials with extended follow-up are warranted to confirm these observations.
Indexed as
Identifiers
What OpenQuestion holds
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.