Evidence map›Paper›PMID 31598877›Full record

ArticleSurgical endoscopy2020

Preventive effect on delayed gastric emptying of preserving the infra-pyloric vein in laparoscopic pylorus-preserving gastrectomy for early gastric cancer.

Sanae Kaji, Rie Makuuchi, Tomoyuki Irino, Yutaka Tanizawa, Etsuro Bando, Taiichi Kawamura, Hayato Omori, Keiichi Fujiya, Noriyuki Nishiwaki, Kenichiro Furukawa and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.7field-weighted citation impact, top 25% of its field
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

12 citing papers in PubMed, 15 citations in OpenAlex.

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  12. Risk factors and prognosis of gastric stasis, a crucial problem after laparoscopic pylorus-preserving gastrectomy for early middle-third gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2020
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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

15 authors at 2 institutions in 1 country.

Sanae KajiDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Rie MakuuchiDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Tomoyuki IrinoDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Yutaka TanizawaDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Etsuro BandoDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Taiichi KawamuraDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Hayato OmoriDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Keiichi FujiyaDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Noriyuki NishiwakiDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Kenichiro FurukawaDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Kenichi NakamuraDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Yusuke KosekiDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Yuhei WakiDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Raito AsaokaDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Masanori TerashimaDivision of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan. m.terashima@scchr.jp.ORCID 0000-0002-2967-8267
Shizuoka Cancer Center · JPJuntendo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPylorus-preserving gastrectomy (PPG) has the postoperative advantages of a better quality of life and less weight loss than distal gastrectomy. However, postoperative delayed gastric emptying (DGE) due to antral hypomotility can be a problem. Although preserving the infra-pyloric vein (IPV) is reported to improve congestion of the antrum and prevent DGE, the benefits of this procedure have not been confirmed. The present study aimed to clarify the preventive effect on DGE of preserving the IPV.

methodsA total of 148 patients [IPV-preserved (IPVP): 78 patients and IPV-non-preserved (IPVN): 70 patients] who underwent laparoscopic and robotic PPG (LRPPG) for early gastric cancer were enrolled in this study. The clinicopathologic characteristics and incidence of DGE were compared between the groups. The nutritional risk index (NRI) at 1, 2, and 3 years after the operation and the relapse-free survival (RFS) were also compared.

resultsThere were no significant differences in the clinicopathological characteristics between the two groups. DGE was observed in 15 of 148 patients (10.1%). The incidence of DGE did not differ markedly between the 2 groups (IPVP vs. IPVN; 11.5% vs. 8.6% p = 0.596). There were no significant differences in other complications between the groups either (IPVP vs. IPVN; 19.2% vs. 21.4%; p = 0.838). The NRI and 3-year RFS were not significantly different between the two groups.

conclusionRegarding LRPPG, preserving the IPV did not help prevent DGE and resulted in no significant difference in the outcomes.

Indexed as

GastrectomyLaparoscopyOrgan Sparing TreatmentsAgedDisease-Free SurvivalFemaleGastric EmptyingHumansMaleMiddle AgedMultivariate AnalysisNeoplasm Recurrence, LocalNutritional StatusPostoperative ComplicationsPylorusQuality of LifeDelayed gastric emptyingInfra-pyloric veinLaparoscopic pylorus-preserving gastrectomyRetrospective study

Identifiers

PMID31598877
OpenAlexW2980270564

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Registered trials

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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.