Evidence map›Paper›PMID 33532685›Full record

ArticleAnnals of gastroenterological surgery2021

Comparison of 5-year postoperative outcomes after Billroth I and Roux-en-Y reconstruction following distal gastrectomy for gastric cancer: Results from a multi-institutional randomized controlled trial.

Yutaka Kimura, Jota Mikami, Makoto Yamasaki, Motohiro Hirao, Hiroshi Imamura, Junya Fujita, Atsushi Takeno, Jin Matsuyama, Kentaro Kishi, Takafumi Hirao and 6 more

Open access · goldAbstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  5. Observational
  6. Review
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  8. Article
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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

16 authors at 13 institutions in 1 country.

Yutaka KimuraDepartment of Surgery Faculty of Medicine Kindai University Osaka-Sayama Japan.ORCID https://orcid.org/0000-0002-0188-0586
Jota MikamiDepartment of Surgery Hyogo Prefectural Nishinomiya Hospital Nishinomiya Japan.
Makoto YamasakiDepartment of Gastroenterological Surgery Osaka University Graduate School of Medicine Suita Japan.
Motohiro HiraoDepartment of Surgery National Hospital Organization Osaka National Hospital Osaka Japan.
Hiroshi ImamuraDepartment of Surgery Toyonaka Municipal Hospital Toyonaka Japan.
Junya FujitaDepartment of Surgery Sakai City Medical Center Sakai Japan.
Atsushi TakenoDepartment of Surgery Kansai Rosai Hospital Amagasaki Japan.
Jin MatsuyamaDepartment of Gastroenterological Surgery Higashiosaka City Medical Center Higashiosaka Japan.
Kentaro KishiDepartment of Surgery Osaka Police Hospital Osaka Japan.
Takafumi HiraoDepartment of Surgery Minoh City Hospital Minoh Japan.
Hiroki FukunagaDepartment of Surgery Itami City Hospital Itami Japan.
Koichi DemuraDepartment of Surgery JCHO Osaka Hospital Osaka Japan.
Yukinori KurokawaDepartment of Gastroenterological Surgery Osaka University Graduate School of Medicine Suita Japan.ORCID https://orcid.org/0000-0002-2883-0132
Shuji TakiguchiDepartment of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Hidetoshi EguchiDepartment of Gastroenterological Surgery Osaka University Graduate School of Medicine Suita Japan.ORCID https://orcid.org/0000-0002-2318-1129
Yuichiro DokiDepartment of Gastroenterological Surgery Osaka University Graduate School of Medicine Suita Japan.
The University of Osaka · JPHyogo Prefectural Nishinomiya Hospital · JPItami City Hospital · JPKansai Rosai Hospital · JPKindai University · JPMinoh City Hospital · JPNagoya City University · JPOsaka City General Hospital · JPOsaka Hospital · JPOsaka National Hospital · JPOsaka Police Hospital · JPSakai Municipal Hospital · JPToyonaka Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe previously reported in a randomized controlled trial that Billroth I and Roux-en-Y reconstructions were generally equivalent regarding body weight change and nutritional status 1 year after distal gastrectomy for gastric cancer. We describe the long-term follow-up data 5 years after distal gastrectomy.

methodsWe analyzed consecutive gastric cancer patients who were randomly assigned to undergo Billroth I or Roux-en-Y reconstruction after distal gastrectomy. We evaluated body weight change, nutritional status, late complications, quality of life (QOL) using the European Organization for Research and Treatment of Cancer Core QOL Questionnaire, and dysfunction using the Dysfunction After Upper Gastrointestinal Surgery for Cancer, 5 years after surgery.

resultsA total of 228 patients (Billroth I = 105; Roux-en-Y = 123) were eligible for efficacy analyses in this study. Body weight loss 5 years after surgery did not differ significantly between the Billroth I and Roux-en-Y groups (10.0% ± 7.9% and 9.6% ± 8.4%, respectively;

conclusionsBillroth I and Roux-en-Y reconstructions were generally equivalent regarding body weight change, nutritional status, and QOL 5 years after distal gastrectomy, although Roux-en-Y more effectively prevented reflux esophagitis and diarrhea.

Indexed as

Billroth I reconstructionbody weightdistal gastrectomygastric cancerRoux‐en‐Y reconstruction

Identifiers

PMID33532685
PMCPMC7832962
OpenAlexW3088347725

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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.