Supporting or complicating? The role of rods and bridges in loop stomas: a comprehensive systematic review and meta-analysis with GRADE evaluation and trial sequential analysis - Takeaways - MDSpire

Supporting or complicating? The role of rods and bridges in loop stomas: a comprehensive systematic review and meta-analysis with GRADE evaluation and trial sequential analysis

  • By

  • Mohamed Abo Zeid

  • Kareem Khalefa

  • Lamees Taman

  • Kareem Ibraheem

  • Amr Alaa Azzouz Elkelany

  • Habiba Abdelhameed Elrefaey

  • Habiba Tariq Saeed

  • Youssef Noureldin

  • Amr M. Abou Elezz

  • December 2, 2025

  • 0 min

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  • 1

    Loop stomas are commonly used in colorectal surgery to reduce complications such as anastomotic leakage.

  • 2

    Despite their protective role, loop stomas can lead to significant complications in up to 50% of patients.

  • 3

    Support rods and bridges are recommended to prevent stoma retraction, but their efficacy remains controversial.

  • 4

    This systematic review and meta-analysis aimed to evaluate the safety and efficacy of rods and bridges in loop stoma formation.

  • 5

    The study adhered to PRISMA guidelines and utilized the GRADE approach to assess the strength of the evidence.

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