Evidence map›Paper›PMID 32677956›Full record

SynthesisWorld journal of surgical oncology2020

Effects of reconstruction techniques after proximal gastrectomy: a systematic review and meta-analysis.

Zakari Shaibu, Zhihong Chen, Said Abdulrahman Salim Mzee, Acquah Theophilus, Isah Adamu Danbala

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in World journal of surgical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 pooled it
3.7field-weighted citation impact, top 5% 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

41 citing papers in PubMed, 4 syntheses or guidelines pooled it, 71 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Zakari ShaibuDepartment of Gastrointestinal Surgery, Affiliated People's Hospital of Jiangsu University, Zhenjiang, 212002, Jiangsu, People's Republic of China.ORCID https://orcid.org/0000-0003-2318-5936
Zhihong ChenDepartment of Gastrointestinal Surgery, Affiliated People's Hospital of Jiangsu University, Zhenjiang, 212002, Jiangsu, People's Republic of China. chenzhi-hong@163.com.
Said Abdulrahman Salim MzeeOverseas Education College, Jiangsu university, No 301 xuefu road, Zhenjiang, 212013, Jiangsu, People's Republic of China.ORCID https://orcid.org/0000-0001-8086-202X
Acquah TheophilusDepartment of Gastrointestinal Surgery, Affiliated People's Hospital of Jiangsu University, Zhenjiang, 212002, Jiangsu, People's Republic of China.
Isah Adamu DanbalaOverseas Education College, Jiangsu university, No 301 xuefu road, Zhenjiang, 212013, Jiangsu, People's Republic of China.
Jiangsu University · CN

Funding

Innovative Research Group Project of the National Natural Science Foundation of China (CN) 81472334
6 · The paper itself

Abstract

backgroundAdditional studies comparing several reconstruction methods after proximal gastrectomy have been published; of note, it is necessary to update systematic reviews and meta-analysis from the current evidence-based literature.

aimTo expand the current knowledge on feasibility and safety, and also to analyze postoperative outcomes of several reconstructive techniques after proximal gastrectomy.

methodsPubMed, Google Scholar, and Medline databases were searched for original studies, and relevant literature published between the years 1966 and 2019 concerning various reconstructive techniques on proximal gastrectomy were selected. The postoperative outcomes and complications of the reconstructive techniques were assessed. Meta-analyses were performed using Rev-Man 5.0. A total of 29 studies investigating postoperative outcomes of double tract reconstruction, jejunal pouch interposition, jejunal interposition, esophagogastrostomy, and double flap reconstruction were finally selected in the quantitative analysis.

resultPooled incidences of reflux esophagitis for double tract reconstruction, jejunal pouch interposition, jejunal interposition esophagogastrostomy, and double flap reconstruction were 8.6%, 13.8%, 13.8%, 19.3%, and 8.9% respectively. Meta-analysis showed a decreased length of hospital in the JI group as compared to the JPI group (heterogeneity: Chi

conclusionAlthough current reconstructive techniques present excellent anti-reflux efficacy, the optimal reconstructive method remains to be determined. The double flap reconstruction proved to lower the rate of complication, but the DTR, JI, JPI, and EG groups showed higher incidence of complications in anastomotic leakage, anastomotic stricture, and residual food. In the meta-analysis result, the complications between the JI, JPI, and EG were comparable but the EG group showed to have better postoperative outcomes concerning the operative time, blood loss, and length of hospital stay.

Indexed as

Stomach NeoplasmsGastrectomyHumansJejunumPostoperative ComplicationsPrognosisTreatment OutcomeDouble flapDouble tract reconstructionEsophagogastrostomyGastric cancer or neoplasmsJejunal interpositionJejunal pouch interpositionProximal gastrectomy

Identifiers

PMID32677956
PMCPMC7367236
OpenAlexW3043821391

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.