Evidence map›Paper›PMID 42272894›Full record

ArticleWorld journal of critical care medicine2026

Surgical fecal diversion

Marcelo Augusto Fontenelle Ribeiro Junior, Sharon M Henry, Husna Irfan Thalib, Sariya Khan, Agata Grochowska-Krystman, Lucas Fontenelle Vieira, Sachin Reddi, Rafael Dib Possiedi

Abstract read
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In one paragraph

Article in World journal of critical care medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. Surgical fecal diversionWorld journal of critical care medicine · 2026
    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

8 authors.

Marcelo Augusto Fontenelle Ribeiro JuniorDepartment of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD 21201, United States.
Sharon M HenryDepartment of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD 21201, United States.
Husna Irfan ThalibGeneral Medicine Practice Program, Batterjee Medical College, Jeddah 21442, Makkah al Mukarramah, Saudi Arabia.
Sariya KhanGeneral Medicine Practice Program, Batterjee Medical College, Jeddah 21442, Makkah al Mukarramah, Saudi Arabia.
Agata Grochowska-KrystmanFaculty of Medicine, Medical University of Lodz, Lodz 90419, Poland.
Lucas Fontenelle VieiraDepartment of Surgery, Florida Atlantic University Charles E Schmidt College of Medicine, Boca Raton, FL 33431, United States.
Sachin ReddiSchool of Medicine, California University of Science and Medicine, Colton, CA 92324, United States.
Rafael Dib PossiediDepartment of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD 21201, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerineal necrotizing soft tissue infections (P-NSTI) are aggressive and potentially fatal conditions. Surgical fecal diversion (SFD) is often used to reduce contamination, but whether non-diversion provides comparable outcomes remains uncertain. We hypothesized that non-diversion does not confer worse outcomes than SFD.

aimTo evaluate clinical outcomes of non-diversion compared with SFD in adults with P-NSTI.

methodsSystematic review and meta-analysis following PRISMA and Cochrane standards. PubMed, EMBASE, Scopus, Web of Science and Cochrane Library were searched without date restrictions. Adults with P-NSTI comparing non-diversion

resultsThirty-six studies including 1751 patients were analyzed. In studies with reconstructed groups, mortality favored non-diversion, whereas no difference was observed in studies with predefined groups. Overall pooled analysis showed lower mortality with non-diversion (odds ratio 0.65; 95% confidence interval: 0.46-0.91;

conclusionNo consistent outcome differences are demonstrated between non-diversion and SFD, and apparent mortality differences likely reflect baseline severity rather than treatment effect, with insufficient evidence to define superiority.

Indexed as

Colostomy, surgical fecal diversionEvacuation managementFecal incontinence catheterFlexible fecal management systemFlexi-sealFournier’s gangreneNecrotizing fasciitisNonsurgical fecal diversionPerianal sepsis

Identifiers

PMID42272894
PMCPMC13248046

What OpenQuestion holds

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LicenceCC BY-NC
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.