Evidence map›Paper›PMID 42240884›Full record

ArticleSurgery today2026

Comparison of pedicled jejunal versus ileal and colonic reconstruction when gastric tube reconstruction is not feasible during esophagectomy.

Yukari Adachi, Hironobu Goto, Yasufumi Koterazawa, Tomoaki Aoki, Yutaka Sugita, Taro Ikeda, Hitoshi Harada, Yasunori Otowa, Naoki Urakawa, Hiroshi Hasegawa and 4 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Yukari AdachiDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Hironobu GotoDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan. hirogoto@med.kobe-u.ac.jp.ORCID http://orcid.org/0000-0002-4337-5529
Yasufumi KoterazawaDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Tomoaki AokiDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Yutaka SugitaDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Taro IkedaDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Hitoshi HaradaDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Yasunori OtowaDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Naoki UrakawaDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Hiroshi HasegawaDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Shingo KanajiDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Takeru MatsudaDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Taro OshikiriDivision of Gastrointestinal Surgery and Surgical Oncology, Graduate School of Medicine, Ehime University, Shitsukawa 454, Toon, Ehime, 791- 0295, Japan.
Yoshihiro KakejiDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEsophageal reconstruction using substitutes other than the stomach is technically demanding and it is often associated with postoperative complications. This study aimed to compare the short- and long-term outcomes of ileal and colonic reconstruction (IC) and pedicled jejunum reconstruction (PJ) after esophagectomy.

methodsThis study included 84 patients who underwent esophagectomy without gastric tube reconstruction (13 patients underwent IC and 71 underwent PJ). The clinicopathological characteristics, perioperative outcomes, and long-term nutritional status were compared between the two groups.

resultsThe reconstruction procedure time was significantly shorter in the PJ group than in the IC group (P = 0.042), and blood loss during one-stage operations was lower in the PJ group (P = 0.010). Postoperative diarrhea occurred less frequently in the PJ group (P = 0.001). At 12 months after surgery, the decreases in the body mass index, psoas muscle area, psoas muscle volume, and psoas muscle index were significantly smaller in the PJ group (P = 0.022, 0.002, 0.003, and 0.042, respectively). Blood-based nutritional indicators were also more favorable in the PJ group. No significant differences were observed in the survival outcomes between the two groups.

conclusionPJ is considered to be the preferred reconstruction method when gastric tube reconstruction cannot be performed after esophagectomy.

Indexed as

ColonEsophageal NeoplasmsEsophagectomyIleumJejunumPlastic Surgery ProceduresSurgical FlapsAgedFemaleHumansMaleMiddle AgedNutritional StatusPostoperative ComplicationsTime FactorsTreatment OutcomeEsophagectomyIleal and colonic reconstructionNutritional statusPedicled jejunum reconstructionShort-and long-term outcomes

Identifiers

PMID42240884

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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.