Effect of antecolic or retrocolic reconstruction of the gastro/duodenojejunostomy on delayed gastric emptying after pancreaticoduodenectomy: a meta-analysis

BMC Gastroenterology

Hua Li¹  Bin Li²  Lupeng Wu²  Jincan Lin¹  Yanming Zhou² 

[1] Department of Digestive Diseases, First Xiamen Hospital, Fujian Medical University, Xiamen, China;Department of Hepatobiliary & Pancreatovascular Surgery, First affiliated Hospital of Xiamen University; Oncologic Center of Xiamen, Xiamen, China

关键词: Meta-analysis;    Pancreatoduodenectomy;    Gastro/duodenojejunostomy reconstruction;    Delayed gastric emptying;   

Others  :  1224300
DOI  :  10.1186/s12876-015-0300-8

 received in 2013-12-30, accepted in 2015-06-05,  发布年份 2015

【 摘 要 】

Background

Delayed gastric emptying (DGE) is one of the most frequent complications after pancreaticoduodenectomy (PD). This meta-analysis aimed to evaluate the effect of antecolic versus retrocolic reconstruction of gastro/duodenojejunostomy on DGE after PD.

Methods

Randomized controlled trials (RCTs) comparing antecolic versus retrocolic reconstruction of gastro/duodenojejunostomy on DGE after PD were eligible for inclusion. Pooled estimates of treatment effect were calculated using either the fixed effects model or random effects model.

Results

Five RCTs involving 534 randomized patients were eligible. The comparison of DGE showed no significant difference (odds ratio, 0.66; 95 % confidence interval, 0.32 to 1.33; P = 0.24). The antecolic and retrocolic groups also had comparable outcomes for clinical parameters related to DGE, other complications, hospital mortality, and length of hospital stay.

Conclusions

The route of gastro/duodenojejunostomy reconstruction has no impact on DGE after PD. Therefore, the choice of reconstruction route should be selected according to the surgeon’s preference.

【 授权许可】

   
2015 Zhou et al.

【 图 表 】

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