Evidence map›Paper›PMID 33441134›Full record

ArticleBMC surgery2021

Purely laparoscopic feeding jejunostomy: a procedure which deserves more attention.

Hsin-I Tsai, Ta-Chun Chou, Ming-Chin Yu, Chun-Nan Yeh, Meng-Ting Peng, Chia-Hsun Hsieh, Po-Jung Su, Chiao-En Wu, Yung-Chia Kuo, Chien-Chih Chiu and 1 more

Abstract readComparative Study
In one paragraph

Article in BMC surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
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  5. Article
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

11 authors.

Hsin-I TsaiDepartment of Anesthesiology, Chang Gung Memorial Hospital, Linkou Medical Center, Guishan, Taoyuan, Taiwan, Republic of China.
Ta-Chun ChouDepartment of Surgery, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan, Republic of China.
Ming-Chin YuCollege of Medicine, Chang Gung University, Guishan, Taoyuan, Taiwan, Republic of China.
Chun-Nan YehCollege of Medicine, Chang Gung University, Guishan, Taoyuan, Taiwan, Republic of China.
Meng-Ting PengDepartment of Hematology-Oncology, Chang Gung Memorial Hospital, Linkou Medical Center, Guishan, Taoyuan, Taiwan, Republic of China.
Chia-Hsun HsiehCollege of Medicine, Chang Gung University, Guishan, Taoyuan, Taiwan, Republic of China.
Po-Jung SuCollege of Medicine, Chang Gung University, Guishan, Taoyuan, Taiwan, Republic of China.
Chiao-En WuCollege of Medicine, Chang Gung University, Guishan, Taoyuan, Taiwan, Republic of China.
Yung-Chia KuoCollege of Medicine, Chang Gung University, Guishan, Taoyuan, Taiwan, Republic of China.
Chien-Chih ChiuDepartment of Nursing, Chang Gung Memorial Hospital, Linkou Medical Center, Guishan, Taoyuan, Taiwan, Republic of China.
Chao-Wei LeeCollege of Medicine, Chang Gung University, Guishan, Taoyuan, Taiwan, Republic of China. alanchaoweilee@hotmail.com.ORCID http://orcid.org/0000-0002-6853-4557

Funding

Chang Gung Memorial Hospital, Linkou CMRPG3I0301Chang Gung Memorial Hospital, Linkou CMRPG3J1691
6 · The paper itself

Abstract

backgroundLaparoscopic procedure has inherent merits of smaller incisions, better cosmesis, less postoperative pain, and earlier recovery. In the current study, we presented our method of purely laparoscopic feeding jejunostomy and compared its results with that of conventional open approach.

methodsWe retrospectively reviewed our patients from 2012 to 2019 who had received either laparoscopic jejunostomy (LJ, n = 29) or open ones (OJ, n = 94) in Chang Gung Memorial Hospital, Linkou. Peri-operative data and postoperative outcomes were analyzed.

resultsIn the current study, we employed 3-0 Vicryl, instead of V-loc barbed sutures, for laparoscopic jejunostomy. The mean operative duration of LJ group was about 30 min longer than the OJ group (159 ± 57.2 mins vs 128 ± 34.6 mins; P = 0.001). There were no intraoperative complications reported in both groups. The patients in the LJ group suffered significantly less postoperative pain than in the OJ group (mean NRS 2.03 ± 0.9 vs. 2.79 ± 1.2; P = 0.002). The majority of patients in both groups received early enteral nutrition (< 48 h) after the operation (86.2% vs. 74.5%; P = 0.143).

conclusionsOur study demonstrated that purely laparoscopic feeding jejunostomy is a safe and feasible procedure with less postoperative pain and excellent postoperative outcome. It also provides surgeons opportunities to enhance intracorporeal suture techniques.

Indexed as

LaparoscopyEnteral NutritionFemaleHumansJejunostomyMaleRetrospective StudiesSuturesWound Closure TechniquesEnteral nutritionEnterostomyFeedingJejunostomyMinimally invasive surgeryPurely laparoscopic

Identifiers

PMID33441134
PMCPMC7805100

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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.