Evidence map›Paper›PMID 32665856›Full record

ArticleGastroenterology report2020

The safety of esophagojejunostomy via a transorally inserted-anvil method vs extracorporeal anastomosis using a circular stapler during total gastrectomy for Siewert type 2 adenocarcinoma of the esophagogastric junction.

Xin-Hua Chen, Yan-Feng Hu, Jun Luo, Yue-Hong Chen, Hao Liu, Tian Lin, Hao Chen, Guo-Xin Li, Jiang Yu

Open access · diamondAbstract read
In one paragraph

Article in Gastroenterology report, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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  11. Impact of diabetes on prognosis of gastric cancer patients performed with gastrectomy.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 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

9 authors at 2 institutions in 1 country.

Xin-Hua ChenDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China.
Yan-Feng HuDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China.
Jun LuoDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China.
Yue-Hong ChenDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China.
Hao LiuDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China.
Tian LinDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China.
Hao ChenDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China.
Guo-Xin LiDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China.
Jiang YuDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China.
Nanfang Hospital · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntracorporeal esophagojejunostomy via a transorally inserted-anvil method during laparoscopic total gastrectomy (LTG) for upper gastric cancer has been demonstrated to be feasible, but the use of this assessment exclusively for Siewert type 2 adenocarcinoma of the esophagogastric junction (AEG) has not been reported.

methodsA total of 428 consecutive gastric-cancer patients who underwent LTG in Nanfang Hospital from January 2008 to December 2016 were reviewed. Among these patients, 98 were classified as Siewert type 2 AEG. The patients underwent intracorporeal esophagojejunostomy through either a transorally inserted-anvil method (

resultsThe transoral group and extracorporeal group were balanced regarding the baseline variables. The operative time, reconstruction duration, number of dissected lymph nodes, length of the proximal resection margins, estimated blood loss, intra-operative complication rate, and post-operative recovery course were not significantly different between the two groups. The mean anvil-insertion completion time (9.7 ± 3.0 vs 13.4 ± 2.0

conclusionsIntracorporeal esophagojejunostomy through a transorally inserted-anvil method may be a potentially safe approach to simplify and optimize the procedure during LTG for Siewert type 2 AEG.

Indexed as

adenocarcinoma of the esophagogastric junctionanastomotic leakageesophagojejunostomylaparoscopic total gastrectomy

Identifiers

PMID32665856
PMCPMC7333922
OpenAlexW2979416435

What OpenQuestion holds

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LicenceCC BY
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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.