Evidence map›Paper›PMID 34218794›Full record

ArticleBMC surgery2021

Proximal gastrectomy with gastric tube reconstruction or jejunal interposition reconstruction in upper-third gastric cancer: which offers better short-term surgical outcomes?

Zhiguo Li, Yan Ma, Guiting Liu, Ming Fang, Yingwei Xue

Open access · goldAbstract read
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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 19% 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, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Surgery Matters: Progress in Surgical Management of Gastric Cancer.Current treatment options in oncology · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. EsophagogastrostomyIn vivo (Athens, Greece)
    Article
  13. 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

5 authors at 3 institutions in 1 country.

Zhiguo Li *Department of Gastroenterological Surgery, Harbin Medical University Cancer Hospital, Nangang District, No.150 Haping Rd, Harbin, 150081, China.
Yan Ma *Department of Gastroenterological Surgery, Harbin Medical University Cancer Hospital, Nangang District, No.150 Haping Rd, Harbin, 150081, China.
Guiting LiuDepartment of Thoracic Surgery, Mudanjiang Medical College, Hongqi Hospital, Mudanjiang, 157011, China.
Ming FangDepartment of Oncology, Nenjiang People's Hospital, Nenjiang, China.
Yingwei XueDepartment of Gastroenterological Surgery, Harbin Medical University Cancer Hospital, Nangang District, No.150 Haping Rd, Harbin, 150081, China. xueyingwei@hrbmu.edu.cn.
Third Affiliated Hospital of Harbin Medical University · CNMudanjiang Medical University · CNQujiang People's Hospital · CN

Funding

the scientific research project of traditional Chinese medicine in Heilongjiang Province (Grant#ZHY2020-174)
6 · The paper itself

Abstract

objectiveProximal gastrectomy acts as a function-preserving operation for upper-third gastric cancer. The aim of this study was to compare the short-term surgical outcomes between proximal gastrectomy with gastric tube reconstruction and proximal gastrectomy with jejunal interposition reconstruction in upper-third gastric cancer.

methodsA retrospective review of 301 patients who underwent proximal gastrectomy with jejunal interposition (JI) or gastric tube (GT) at Harbin Medical University Cancer Hospital between June 2007 and December 2016 was performed. The Gastrointestinal Symptom Rating Scale (GSRS) and Visick grade were used to evaluate postgastrectomy syndromes. Gastrointestinal fiberoscopy was used to evaluate the prevalence and severity of reflux esophagitis based on the Los Angeles (LA) classification system.

resultsThe JI group had a longer operation time than the GT group (220 ± 52 vs 182 ± 50 min), but no significant difference in blood loss was noted. Compared to the GT group, the Visick grade and GSRS score were significantly higher. Reflux esophagitis was significantly increased in the GT group compared with the JI group.

conclusionProximal gastrectomy is well tolerated with excellent short-term outcomes in patients with upper-third gastric cancer. Compared with GT construction, JI construction has clear functional advantages and may provide better quality of life for patients with upper-third gastric cancer.

Indexed as

Stomach NeoplasmsGastrectomyHumansJejunumQuality of LifeRetrospective StudiesTreatment OutcomeGastric cancerGastric tubeJejunal interpositionProximal gastrectomySurgical short-term outcomes

Identifiers

PMID34218794
PMCPMC8256585
OpenAlexW3182129141

What OpenQuestion holds

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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.