Reviewer's report
Title:The increasing role of endoscopy in the management of intestinal
obstruction: a 20-year retrospective study
Version: 1Date:23 May 2010
Reviewer: Andreas Shamiyeh
Reviewer's report:
Answer to question:
1: The topic is clear and the aim is well defined. The theme itself is upcoming at
the moment. Actually a multicenter trial supported by E.A.E.S is dealing with this
question.
2: The methods are well explained: The authors write that all patients gave
informed consent during surgery…. I guess written informed consent was given
prior to… this should be cor-rected.
Statistics are ok.
Management of good clinical practice: is it a routine in the clinic to do a oral
gastrografin pas-sage?
Results: Obstruction is not well defined. e.g. how many patients had rectal
cancer., how many patients had miserere? Are there any patients with immediate
postoperative ileus to be treated. Die they try to clean the bowel prior to
endoscopy?.....
Treatment options: In how many patients could the endoscopic intervention spare
a stoma?
Did they had any complications by the use of a stent (perforation? dislocation?)
How many patients had oglivie syndrome or morbus hirschsprung.
Discussion: The autors state, that first it is important to reach the terminal ileum
or cöcum. This is not in every case of obstrucition necessary (e.g. rectal cancer
and ileus)
What about on table coloscopy?
3: The data sound believable
4: ok
5: Discussion and conclusion are well balanced
6: yes, it is an retrospective study, however it represents a large number of
treated patients in an referral centre.
7-9: ok
Conclusion: The paper is important. In many countries endoscopy has gone far
away from the surgeons hand. This may lead surgeons in case of an intestinal
obstruction not even to think about an endoscopy.
To give this work more importance, the patients characteristics and the results
should be explained better (see questions above)
Level of interest: An article of importance in its field
Quality of written English: Acceptable
Statistical review: Yes, and I have assessed the statistics in my report.
Declaration of competing interests:
'I declare that I have no competing interests'
Reviewer's report
Title:The increasing role of endoscopy in the management of intestinal
obstruction: a 20-year retrospective study
Version: 1Date:23 May 2010
Reviewer: Andreas Shamiyeh
Reviewer's report:
Answer to question:
1: The topic is clear and the aim is well defined. The theme itself is upcoming at
the moment. Actually a multicenter trial supported by E.A.E.S is dealing with this
question.
2: The methods are well explained: The authors write that all patients gave
informed consent during surgery…. I guess written informed consent was given
prior to… this should be cor-rected.
Statistics are ok.
Management of good clinical practice: is it a routine in the clinic to do a oral
gastrografin pas-sage?
Results: Obstruction is not well defined. e.g. how many patients had rectal
cancer., how many patients had miserere? Are there any patients with immediate
postoperative ileus to be treated. Die they try to clean the bowel prior to
endoscopy?.....
Treatment options: In how many patients could the endoscopic intervention spare
a stoma?
Did they had any complications by the use of a stent (perforation? dislocation?)
How many patients had oglivie syndrome or morbus hirschsprung.
Discussion: The autors state, that first it is important to reach the terminal ileum
or cöcum. This is not in every case of obstrucition necessary (e.g. rectal cancer
and ileus)
What about on table coloscopy?
3: The data sound believable
4: ok
5: Discussion and conclusion are well balanced
6: yes, it is an retrospective study, however it represents a large number of
treated patients in an referral centre.
7-9: ok
Conclusion: The paper is important. In many countries endoscopy has gone far
away from the surgeons hand. This may lead surgeons in case of an intestinal
obstruction not even to think about an endoscopy.
To give this work more importance, the patients characteristics and the results
should be explained better (see questions above)
Level of interest: An article of importance in its field
Quality of written English: Acceptable
Statistical review: Yes, and I have assessed the statistics in my report.
Declaration of competing interests:
'I declare that I have no competing interests'
Please review this paper.
user
Reviewer's report
Title:The increasing role of endoscopy in the management of intestinal
obstruction: a 20-year retrospective study
Version: 1Date:23 May 2010
Reviewer: Andreas Shamiyeh
Reviewer's report:
Answer to question:
1: The topic is clear and the aim is well defined. The theme itself is upcoming at
the moment. Actually a multicenter trial supported by E.A.E.S is dealing with this
question.
2: The methods are well explained: The authors write that all patients gave
informed consent during surgery…. I guess written informed consent was given
prior to… this should be cor-rected.
Statistics are ok.
Management of good clinical practice: is it a routine in the clinic to do a oral
gastrografin pas-sage?
Results: Obstruction is not well defined. e.g. how many patients had rectal
cancer., how many patients had miserere? Are there any patients with immediate
postoperative ileus to be treated. Die they try to clean the bowel prior to
endoscopy?.....
Treatment options: In how many patients could the endoscopic intervention spare
a stoma?
Did they had any complications by the use of a stent (perforation? dislocation?)
How many patients had oglivie syndrome or morbus hirschsprung.
Discussion: The autors state, that first it is important to reach the terminal ileum
or cöcum. This is not in every case of obstrucition necessary (e.g. rectal cancer
and ileus)
What about on table coloscopy?
3: The data sound believable
4: ok
5: Discussion and conclusion are well balanced
6: yes, it is an retrospective study, however it represents a large number of
treated patients in an referral centre.
7-9: ok
Conclusion: The paper is important. In many countries endoscopy has gone far
away from the surgeons hand. This may lead surgeons in case of an intestinal
obstruction not even to think about an endoscopy.
To give this work more importance, the patients characteristics and the results
should be explained better (see questions above)
Level of interest: An article of importance in its field
Quality of written English: Acceptable
Statistical review: Yes, and I have assessed the statistics in my report.
Declaration of competing interests:
'I declare that I have no competing interests'
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