Evidence map›Paper›PMID 32677925›Full record

ArticleBMC surgery2020

Comparison of outcomes of pedicled jejunal and colonic conduit for esophageal reconstruction.

Sicong Jiang, Changying Guo, Bin Zou, Jianguo Xie, Zhihui Xiong, Yukang Kuang, Jianjun Tang

Registry-linked trialAbstract read
In one paragraph

Article in BMC surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05802459 (Prospective Evaluation of the Functional Status of Jejunoplasty and Coloplasty in Patients Undergoing Complex Esophageal Reconstruction and Its Impact on Quality of Life), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

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.

NCT05802459 recruitingnot on this mapstarted 2022, after this paper: background citation

Prospective Evaluation of the Functional Status of Jejunoplasty and Coloplasty in Patients Undergoing Complex Esophageal Reconstruction and Its Impact on Quality of Life (CEREC)

Typeobservational_patient_registrySponsorHospital Universitari de BellvitgeRan2022 to 2027Enrolled36ConditionsQuality of Life, DysphagiaArmsEORTC QLQ-C30, EORTC QLQ-OG25, GIQLI, SWAL QoL, Videofluoroscopy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Sicong JiangDepartment of Thoracic Surgery, Jiangxi Cancer Hospital of Nanchang University, No. 519 Beijing East Road, Nanchang, 330006, Jiangxi, China.
Changying GuoDepartment of Thoracic Surgery, Jiangxi Cancer Hospital of Nanchang University, No. 519 Beijing East Road, Nanchang, 330006, Jiangxi, China.
Bin ZouDepartment of Thoracic Surgery, Jiangxi Cancer Hospital of Nanchang University, No. 519 Beijing East Road, Nanchang, 330006, Jiangxi, China.
Jianguo XieDepartment of Thoracic Surgery, Jiangxi Cancer Hospital of Nanchang University, No. 519 Beijing East Road, Nanchang, 330006, Jiangxi, China.
Zhihui XiongDepartment of Obstetrics, Tongde Hospital of Zhejiang Provience, Zhejiang, 310012, Hangzhou, China.
Yukang KuangDepartment of Thoracic Surgery, Jiangxi Cancer Hospital of Nanchang University, No. 519 Beijing East Road, Nanchang, 330006, Jiangxi, China. kuangyukang123@163.com.
Jianjun TangDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi, China. 15070996627@163.com.

Funding

Medjaden Academy & Research Foundation for Young Scientists MJA20180926
6 · The paper itself

Abstract

backgroundAt present, the gastric tube is the first choice for esophageal reconstruction after esophagectomy for various benign and malignant diseases. However, when the stomach is not available, a pedicled jejunum or colon is used to reconstruct the esophagus. The present study aimed to compare the postoperative outcomes and quality of life of patients receiving jejunal and colonic conduits.

methodsIn the present retrospective study, the clinical data of 71 patients with esophageal carcinoma, who received jejunal reconstruction (jejunum group, n = 34) and colonic reconstruction (colon group, n = 37) from 2005 to 2015, were compared.

resultsCompared with the colon group, the jejunum group had a lower incidence of postoperative anastomotic leakage, lesser duration of postoperative drainage, and faster recovery. Furthermore, the scores were better in the jejunum group than in the colon group, in terms of short-term overall quality of life, physical function and social relationships. Moreover, the jejunal group had a significantly lower frequency of pH < 4 simultaneous reflux time > 5 min (N45) and the longest reflux time (LT) at 24 weeks after surgery.

conclusionIn esophageal cancer, when gastric tube construction is not feasible, a pedicled jejunum may be preferred over a colonic conduit due to lower incidence of acid reflux, anastomotic leakage and higher postoperative short-term quality of life, and rapid postoperative recovery.

Indexed as

ColonEsophageal NeoplasmsEsophagectomyJejunumAgedFemaleHumansMaleMiddle AgedPlastic Surgery ProceduresQuality of LifeRetrospective StudiesEsophageal cancerGastric remnantPedicle jejunumPostoperativeReconstruction

Identifiers

PMID32677925
PMCPMC7364600

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Registered trials

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.