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- Title
Effect of antecolic versus retrocolic reconstruction for gastro/duodenojejunostomy on delayed gastric emptying after pancreaticoduodenectomy: A meta-analysis.
- Authors
Cao, Shuang‐Shuang; Lin, Qi‐Yuan; He, Man‐Xi; Zhang, Guang‐Quan
- Abstract
Aim The aim of this meta-analysis was to assess whether antecolic reconstruction is superior to retrocolic reconstruction for gastro/duodenojejunostomy with respect to delayed gastric emptying after pancreaticoduodenectomy. Patients and Methods A literature search of Medline ( PubMed), EMBASE, OVID, EBSCO and the Cochrane database was done to identify randomized, controlled trials (RCT) comparing antecolic and retrocolic gastro/duodenojejunostomy after pancreaticoduodenectomy from January 1991 to April 2012. Four RCT involving 189 patients, and comparing antecolic reconstruction with retrocolic reconstruction, were identified for inclusion. Results The meta-analysis revealed that there was no significant difference between the two groups in terms of operation time [mean difference ( MD): 4.39, 95 per cent confidence interval ( CI): −19.51 to 28.28, P = 0.72], intraoperative blood loss ( MD: 22.51, 95 per cent CI: −160.56 to 205.58, P = 0.81), blood replacement ( MD: −0.19; 95 per cent CI: −0.62 to 0.23, P = 0.38), mortality [odds ratio ( OR): 0.32, 95 per cent CI: 0.01-8.26, P = 0.49], morbidity ( OR: 2.25, 95 per cent CI: 0.57-8.82, P = 0.24), delayed gastric emptying ( OR: 0.31, 95 per cent CI: 0.08-1.26, P = 0.10) and length of postoperative hospital stay ( MD: −2.35, 95 per cent CI: −7.56 to 2.86, P = 0.38). Conclusion Compared to retrocolic reconstruction, antecolic reconstruction for gastro/duodenojejunostomy does not seem to offer an advantage with respect to delayed gastric emptying after pancreaticoduodenectomy.
- Subjects
PANCREATICODUODENECTOMY; GASTRIC emptying; GASTRIC bypass; META-analysis; DUODENECTOMY; MEDLINE; BLOOD loss estimation
- Publication
Surgical Practice, 2014, Vol 18, Issue 2, p72
- ISSN
1744-1625
- Publication type
Article
- DOI
10.1111/1744-1633.12055