Evidence map›Paper›PMID 40523983›Full record

SynthesisLangenbeck's archives of surgery2025

Efficacy and safety of therapeutic means for postoperative ileus: an umbrella review of meta-analyses.

Pengcheng Zhang, Yueying Lin, Keqian Yi, Yu Ma, Ting Yang, Liya An, Yuxing Qi, Xingzong Huang, Xianming Su, Yinlong Deng and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Development and comparison of machine learning models for predicting postoperative ileus after posterior thoracolumbar fracture surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 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

13 authors.

Pengcheng Zhang *Department of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming, 65010, China.
Yueying Lin *Department of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming, 65010, China.
Keqian Yi *Department of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming, 65010, China.
Yu MaDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming, 650101, China.
Ting YangDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming, 65010, China.
Liya AnDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming, 65010, China.
Yuxing QiDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming, 65010, China.
Xingzong HuangDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming, 65010, China.
Xianming SuDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming, 65010, China.
Yinlong DengDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming, 65010, China.
Jian HuDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming, 65010, China.
Wen LiDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming, 650101, China. 229700084@qq.com.
Dali SunDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming, 65010, China. sundali2018@126.com.

Funding

the National Natural Science Foundation of China (NSFC) No. 82460115the Yunnan Province Joint Special Project of Science & Technology Department of Yunnan Province and Kunming Medical University 202301AY070001-274the Yunnan Province Joint Special Project of Science & Technology Department of Yunnan Province and Kunming Medical University 202301AY070001-297the Yunnan Province Joint Special Project of Science & Technology Department of Yunnan Province and Kunming Medical University No.202401AY070001-076the Yunnan young academic and technical leaders reserve talent project No. 202105AC160049
6 · The paper itself

Abstract

BACKGROUND &

aimsPostoperative ileus is treated using a large number of methods with variable efficacy. This study further clarifies the advantages and disadvantages of existing treatments through umbrella evaluation.

methodThis study conducted a systematic search of databases to select and include meta-analyses discussing the treatment of postoperative ileus. We recalculated the estimated values, 95% confidence intervals, heterogeneity estimates, small study effects, excessive significance tests, and publication biases for each included study using both random and fixed effect models.

resultsA total of 24 meta-analyses, including 27 treatment protocols, were reviewed in this study. Among them, chewing gum, coffee, ERAS(Enhanced Recovery After Surgery) protocols, acupuncture, opioid receptor antagonists, Da-Cheng-Qi-Tang, early enteral nutrition, and Zusanli point injection therapy have been shown to significantly improve postoperative ileus (Class II). Opioid receptor antagonists, early enteral nutrition, ERAS, and chewing gum have also been found to significantly reduce the postoperative hospital stay (Class II).

conclusionEight treatment options can effectively reduce postoperative ileus, while the effectiveness and safety of other treatment options for postoperative ileus require further confirmation through high-quality research.

Indexed as

IleusPostoperative ComplicationsAcupuncture TherapyChewing GumEnteral NutritionHumansMeta-Analysis as TopicTreatment OutcomeChewing GumInterventionMeta-analysisPostoperative ileus (POI)Umbrella review

Identifiers

PMID40523983
PMCPMC12170703

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.