{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:25:18Z","timestamp":1767140718006,"version":"build-2238731810"},"reference-count":4,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,26]],"date-time":"2024-05-26T00:00:00Z","timestamp":1716681600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,26]],"date-time":"2024-05-26T00:00:00Z","timestamp":1716681600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Colorectal Dis"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Empty Pelvis Syndrome, subsequent to the removal of pelvic organs, results in the descent of the small bowel into an inflamed pelvic cavity, leading to the formation of adhesions and subsequent small bowel obstruction. However, no effective measures have been previously described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Describe a simple and autologous solution to prevent \u201cEmpty Pelvis Syndrome,\u201d small bowel obstruction, and adhesions by utilizing the cecum to occlude the pelvis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Mobilization of the right colon to lower the cecum into the pelvic cavity to occlude the superior pelvic ring to some degree and changing the direction of the terminal ileum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings<\/jats:title>\n                    <jats:p>Hospital Universitario Fundaci\u00f3n Jim\u00e9nez D\u00edaz, Department of General Surgery, Colorectal Service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Eight anonymized patients were included in this study, each with varying colorectal pathologies. Patients were above 18\u00a0years old.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Percent of blockage of the superior pelvic ring produced by the descended cecum recorded in percentage; the amount of small intestine descended past the superior pelvic ring recorded in cm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mobilization of the cecum achieved partial occlusion of the superior pelvic ring. The descent of the small bowel beyond this landmark ranged from 0 to 4.9\u00a0cm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations<\/jats:title>\n                    <jats:p>Given the small number of patients included in this study, these results cannot be generalized to the whole of the population. A bladder emptying protocol prior to CT scans was not implemented, resulting in variations in measurements among patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The cecum-to-pelvis technique is a simple method that can serve as an autologous solution to EPS (enteropelvic fistula) and help reduce postoperative complications such as SBO (small bowel obstruction) and adhesions. It is not essential to completely occlude the superior pelvic ring to achieve successful outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00384-024-04649-0","type":"journal-article","created":{"date-parts":[[2024,5,26]],"date-time":"2024-05-26T17:01:45Z","timestamp":1716742905000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cecum to pelvis technique: a simple and autologous solution to prevent postoperative complications in pelvic surgery"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6297-9347","authenticated-orcid":false,"given":"Hector","family":"Guadalajara","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacye Michelle","family":"Toups","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9681-3203","authenticated-orcid":false,"given":"Miguel","family":"Le\u00f3n-Arellano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Vizarreta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9369-2338","authenticated-orcid":false,"given":"Dami\u00e1n","family":"Garc\u00eda-Olmo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,26]]},"reference":[{"issue":"1","key":"4649_CR1","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1136\/ijgc-2021-003196","volume":"32","author":"N Manzour","year":"2021","unstructured":"Manzour N, Boria F, Chiva L (2021) Empty pelvis syndrome: is there an easy way? Int J Gynaecol Cancer 32(1):114\u2013124","journal-title":"Int J Gynaecol Cancer"},{"issue":"1","key":"4649_CR2","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1111\/codi.15956","volume":"24","author":"YL Johnson","year":"2021","unstructured":"Johnson YL, West MA, Gould LE, Drami I, Behrenbruch C, Burns EM et al (2021) Empty pelvis syndrome: a systematic review of reconstruction techniques and their associated complications. Colorectal Dis 24(1):16\u201326","journal-title":"Colorectal Dis"},{"issue":"2","key":"4649_CR3","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1016\/j.ygyno.2004.05.008","volume":"94","author":"JP Micha","year":"2004","unstructured":"Micha JP, Goldstein BH, Rettenmaier MA, Brown JV (2004) Cecal pelvic transposition following total pelvic exenteration. Gynecol Oncol 94(2):589\u2013592","journal-title":"Gynecol Oncol"},{"issue":"5","key":"4649_CR4","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1016\/j.ejso.2007.01.026","volume":"33","author":"GC Guimar\u00e3es","year":"2007","unstructured":"Guimar\u00e3es GC, Baiocchi G, Rossi BM, Ferreira FO, Aguiar S, Nakagawa WT et al (2007) The use of silicone expander and cecal transposition after pelvic exenteration. Eur J Surg Oncol 33(5):586\u2013589","journal-title":"Eur J Surg Oncol"}],"updated-by":[{"DOI":"10.1007\/s00384-024-04664-1","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T00:00:00Z","timestamp":1717977600000}}],"container-title":["International Journal of Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00384-024-04649-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00384-024-04649-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00384-024-04649-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T04:20:29Z","timestamp":1736310029000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00384-024-04649-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,26]]},"references-count":4,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4649"],"URL":"https:\/\/doi.org\/10.1007\/s00384-024-04649-0","relation":{},"ISSN":["1432-1262"],"issn-type":[{"value":"1432-1262","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,26]]},"assertion":[{"value":"16 May 2024","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 May 2024","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 June 2024","order":3,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":4,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":5,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s00384-024-04664-1","URL":"https:\/\/doi.org\/10.1007\/s00384-024-04664-1","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The research was conducted on patients eligible for the cecumto-pelvis technique, with informed consent documented before surgery. This study and the patient information sheet were approved by the Ethical Committee of Investigation of the Hospital Universitario Fundaci\u00f3n Jim\u00e9nez D\u00edaz.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"79"}}