Evidence map›Paper›PMID 19039635›Full record

ArticleSurgery today2008

Gastrojejunostomy as induction treatment for S-1-based chemotherapy in patients with incurable gastric cancer.

Manabu Ohashi, Tatsuo Kanda, Masaki Hirota, Takashi Kobayashi, Kazuhito Yajima, Shin-ichi Kosugi, Katsuyoshi Hatakeyama

Abstract read
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Article in Surgery today, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Manabu OhashiDivision of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Niigata, 951-8510, Japan.
Tatsuo Kanda
Masaki Hirota
Takashi Kobayashi
Kazuhito Yajima
Shin-ichi Kosugi
Katsuyoshi Hatakeyama

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe development of new generation anticancer agents, including the oral drug, S-1, may alter the clinical importance of gastrojejunostomy in the treatment of incurable gastric cancer. We reviewed a series of patients who underwent gastrojejunostomy for this reason between 2002 and 2005.

methodsFourteen patients underwent gastrojejunostomy followed by S-1-based chemotherapy for incurable gastric cancer with obstruction or stenosis of the gastric outlet at Niigata University Medical and Dental Hospital and two affiliated hospitals. The safety of gastrojejunostomy, outcome of palliation, and survival time were analyzed retrospectively. We compared the survival times with those of patients who underwent palliative gastrectomy or exploratory laparotomy between 1987 and 2001.

resultsThe median operative time and blood loss were 153 min and 66 ml, respectively. There were no major complications. The median starting time for chemotherapy after gastrojejunostomy was 15.5 days. All patients were discharged after gastrojejunostomy, and the median postoperative home stay ratio was 68%. The median survival time after gastrojejunostomy was 354 days, which was significantly longer than that of patients who underwent palliative gastrectomy or exploratory laparotomy.

conclusionGastrojejunostomy for incurable gastric cancer contributes not only to improving quality of life (QOL), but to prolonging survival through the induction and maintenance of S-1-based chemotherapy.

Indexed as

Gastric BypassAgedAged, 80 and overAntimetabolites, AntineoplasticBlood Loss, SurgicalCombined Modality TherapyDrug CombinationsFemaleHumansKaplan-Meier EstimateMaleMiddle AgedOxonic AcidQuality of LifeRetrospective StudiesStomach NeoplasmsAntimetabolites, AntineoplasticDrug CombinationsOxonic AcidS 1 (combination)Tegafur

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.