Evidence map›Paper›PMID 37098553›Full record

SynthesisWorld journal of surgical oncology2023

A meta-analysis of the efficacy of Roux-en-Y anastomosis and jejunal interposition after total gastrectomy.

Yu-Hang Liu, Rui Meng, Bing Zhu, Qi-Qi Zhan, Xin Yang, Guan-Yi Ding, Chun-Liang Jia, Wei-Guo Xu

Open access · goldAbstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in World journal of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 4 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

8 authors at 4 institutions in 1 country.

Yu-Hang LiuNorth China University of Science and Technology Affiliated Hospital, Tangshan, 063000, China.
Rui MengDepartment of Emergency Intensive Care Unit, Yangpu Hospital, Tongji University, Shanghai, 200090, China.
Bing ZhuTangshan Gongren Hospital, Tangshan, 063000, China.
Qi-Qi ZhanNorth China University of Science and Technology Affiliated Hospital, Tangshan, 063000, China.
Xin YangNorth China University of Science and Technology Affiliated Hospital, Tangshan, 063000, China.
Guan-Yi DingTangshan Gongren Hospital, Tangshan, 063000, China.
Chun-Liang JiaTangshan People's Hospital, Tangshan, 063000, China.
Wei-Guo XuNorth China University of Science and Technology Affiliated Hospital, Tangshan, 063000, China & Department of Gastrointestinal Surgery, China Hospital Medical Sciences, Shenzhen Center, No.113, Baohe District, Shenzhen, 518000, China. xwg853@163.com.
North China University of Science and Technology Affiliated Hospital · CNTangshan Gongren Hospital · CNTangshan People's Hospital · CNYangpu Hospital of Tongji University · CN

Funding

Key Project of Medical Science Research of Hebei 20160736Project of Beijing, Tianjin, and Hebei Basic Research Cooperation J200016Project of introducing overseas students of Human Resources and Social Security of Hebei CY201721the Natural Science Foundation of Hebei H2020209309
6 · The paper itself

Abstract

backgroundTo compare the clinical efficacy of two alimentary tract reconstruction methods-"P"-shape jejunal interposition (PJI) and Roux-en-Y anastomosis after total gastrectomy.

methodThe following search phrases were utilized to search PubMed, Cochrane Library, Embase, China Academic Journals Network Full-text Database (CNKI), and Wanfang Database as of April 2022: "gastrectomy," "Roux-en-Y," "interposition," "total gastrectomy," and "jejunal interposition." Meta-analysis of the operation time, intraoperative blood loss, complication rate, and postoperative nutritional status of patients was performed using RevMan 5.4 software.

resultsA total of 24 studies and 1887 patients were included in the study. Among patients who received a total gastrectomy, the operation time in the PJI group was substantially longer than that in the Roux-en-Y group (WMD = 19.77, 95% CI: 5.84-33.70, P = 0.005). The incidence of postoperative reflux esophagitis in the PJI group was considerably reduced than that in the Roux-en-Y group (OR = 0.39, 95% CI: 0.28-0.56, P < 0.01). The probability of postoperative dumping syndrome in the PJI group was significantly lower than that in the Roux-en-Y group (OR = 0.27, 95% CI: 0.17-0.43, P < 0.01), and the postoperative body mass changes were significantly lower in the PJI group than in the Roux-en-Y group (WMD = 3.94, 95% CI: 2.24-5.64, P < 0.01). The PJI group had substantially higher postoperative hemoglobin, albumin, and total protein levels than the Roux-en-Y group (WMD = 13.94, 95% CI: 7.77-19.20, P < 0.01; WMD = 3.97, 95% CI: 2.58-5.37, P < 0.01; WMD = 5.31, 95% CI: 3.45-7.16, P < 0.01). The prognostic nutritional index was higher in the PJI group than in the Roux-en-Y group (WMD = 9.25, 95% CI: 7.37-11.13, P < 0.01).

conclusionPJI is a safe and effective reconstruction method and is superior to Roux-en-Y anastomosis in the prevention and treatment of postoperative complications and postoperative nutritional recovery in patients after total gastrectomy.

Indexed as

Anastomosis, Roux-en-YStomach NeoplasmsAnastomosis, SurgicalGastrectomyHumansJejunumPostoperative ComplicationsTreatment OutcomeAlimentary tract reconstructionJejunal interpositionMeta-analysisRoux-en-YTotal gastrectomy

Identifiers

PMID37098553
PMCPMC10127366
OpenAlexW4366988606

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.