Title |
Effect of antecolic or retrocolic reconstruction of the gastro/duodenojejunostomy on delayed gastric emptying after pancreaticoduodenectomy: a meta-analysis
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Published in |
BMC Gastroenterology, June 2015
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DOI | 10.1186/s12876-015-0300-8 |
Pubmed ID | |
Authors |
Yanming Zhou, Jincan Lin, Lupeng Wu, Bin Li, Hua Li |
Abstract |
Delayed gastric emptying (DGE) is one of the most frequent complications after pancreaticoduodenectomy (PD). This meta-analysis aimed to evaluate the effect of antecolic versus retrocolic reconstruction of gastro/duodenojejunostomy on DGE after PD. Randomized controlled trials (RCTs) comparing antecolic versus retrocolic reconstruction of gastro/duodenojejunostomy on DGE after PD were eligible for inclusion. Pooled estimates of treatment effect were calculated using either the fixed effects model or random effects model. Five RCTs involving 534 randomized patients were eligible. The comparison of DGE showed no significant difference (odds ratio, 0.66; 95 % confidence interval, 0.32 to 1.33; P = 0.24). The antecolic and retrocolic groups also had comparable outcomes for clinical parameters related to DGE, other complications, hospital mortality, and length of hospital stay. The route of gastro/duodenojejunostomy reconstruction has no impact on DGE after PD. Therefore, the choice of reconstruction route should be selected according to the surgeon's preference. |
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Country | Count | As % |
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Unknown | 26 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Doctoral Student | 4 | 15% |
Student > Postgraduate | 3 | 12% |
Other | 2 | 8% |
Student > Bachelor | 2 | 8% |
Lecturer | 1 | 4% |
Other | 2 | 8% |
Unknown | 12 | 46% |
Readers by discipline | Count | As % |
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Business, Management and Accounting | 1 | 4% |
Mathematics | 1 | 4% |
Sports and Recreations | 1 | 4% |
Nursing and Health Professions | 1 | 4% |
Other | 0 | 0% |
Unknown | 13 | 50% |