{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T19:46:07Z","timestamp":1772999167142,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T00:00:00Z","timestamp":1771113600000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To systematically evaluate the safety and feasibility of intraluminal bypass devices (IBDs) as alternatives to defunctioning stoma for colorectal\/coloanal anastomoses after anterior resection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The present systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses (PRISMA) guidelines. Endpoints were feasibility (placement, fixation, maintenance, removal) and safety (device\u2010related events, postoperative morbidity and anastomotic leakage).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 10 studies evaluating five types of IBDs were included in this systematic review. Each IBD had a head portion with a proximal fixation component and a tail portion consisting of a transanal endoluminal tubular sheath or tube for faecal diversion but with a distinct design. Device\u2010related events included migration, sheath internalization, partial colonic wall erosions and enterocutaneous fistula. Overall postoperative complications were reported in 0\u201374% and anastomotic leakage in 0\u201332% across studies. Stoma avoidance ranged from 66.7% to 100%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>IBDs are technically feasible and appear acceptably safe, with potential to reduce reliance on defunctioning stoma; however, evidence remains early and heterogeneous. Further studies are needed, and optimization of fixation and anti\u2010migration strategies should be prioritized.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70408","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T04:07:30Z","timestamp":1771214850000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intraluminal bypass devices as an alternative to defunctioning stoma in anterior resection: A systematic review of safety and feasibility"],"prefix":"10.1111","volume":"28","author":[{"given":"Peiyu","family":"Li","sequence":"first","affiliation":[{"name":"Department of Burn and Plastic Surgery West China Hospital, Sichuan University  Chengdu Sichuan China"},{"name":"West China School of Medicine, Sichuan University  Chengdu Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tinghan","family":"Yang","sequence":"additional","affiliation":[{"name":"Colorectal Cancer Center, West China Hospital, Sichuan University  Chengdu Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0567-2749","authenticated-orcid":false,"given":"Xuewen","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Burn and Plastic Surgery West China Hospital, Sichuan University  Chengdu Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2874-1535","authenticated-orcid":false,"given":"Ziqiang","family":"Wang","sequence":"additional","affiliation":[{"name":"Colorectal Cancer Center, West China Hospital, Sichuan University  Chengdu Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,15]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15997"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2022.101708"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2024.1371567"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2009.10.012"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000003478"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15055"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15836"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-012-1413-y"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1598160"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.02006.x"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001202"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol30030236"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02552999"},{"key":"e_1_2_13_15_1","first-page":"189","article-title":"Intracolonic by\u2010pass: a new technique to prevent anastomotic complications in colon and rectal surgery","volume":"14","author":"Castrini G","year":"1984","journal-title":"Ital J Surg Sci"},{"key":"e_1_2_13_16_1","first-page":"541","article-title":"A preliminary report on the intracolonic bypass as an alternative to a temporary colostomy","volume":"159","author":"Ravo B","year":"1984","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02554892"},{"key":"e_1_2_13_18_1","first-page":"618","article-title":"Primary colorectal anastomosis with the intracolonic bypass tube","volume":"112","author":"Rosati C","year":"1992","journal-title":"Surgery"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-019-07279-8"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-023-10272-x"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-019-02015-9"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6389-4"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-019-03255-9"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-022-04117-7"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-007-9144-9"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000000224"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000035756"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-73935-2"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_13_30_1","doi-asserted-by":"crossref","unstructured":"TufanaruC MunnZ AromatarisE CampbellJ HoppL.Systematic reviews of effectiveness (2020). 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