Braun anastomosis lowers the incidence of delayed gastric emptying following pancreaticoduodenectomy: a meta-analysis

BMC Gastroenterology

Bin Hu¹  Kongyuan Wei²  Xiaoying Si³  Yanming Zhou³ 

[1] Department of Clinical Laboratory Medicine, First affiliated Hospital of Xiamen University;Department of General Surgery, First Hospital of Lanzhou University;Department of Hepatobiliary & Pancreatovascular Surgery, First affiliated Hospital of Xiamen University;

关键词: Delayed gastric emptying;    Braun enteroenterostomy;    Pancreatoduodenectomy;    Meta-analysis;   

DOI  :  10.1186/s12876-018-0909-5

来源: DOAJ

【 摘 要 】

Abstract Background Delayed gastric emptying (DGE) is one of the most frequent complications following pancreaticoduodenectomy. This meta-analysis aimed to evaluate the impact of Braun enteroenterostomy on DGE following pancreaticoduodenectomy. Methods A systematic review of the literature was performed to identify relevant studies. Statistical analysis was carried out using Review Manager software 5.3. Results Eleven studies involving 1672 patients (1005 in Braun group and 667 in non-Braun group) were included in the meta-analysis. Braun enteroenterostomy was associated with a statistically significant reduction in overall DGE (odds ratios [OR] 0.32, 95% confidence intervals [CI] 0.24 to 0.43; P <0.001), clinically significant DGE (OR 0.27, 95% CI 0.15 to 0.51; P <0.001), bile leak (OR 0.50, 95% CI 0.29 to 0.86; P = 0.01), and length of hospital stay (weighted mean difference -1.66, 95% CI -2.95 to 00.37; P = 0.01). Conclusions Braun enteroenterostomy minimizes the rate and severity of DGE following pancreaticoduodenectomy.

【 授权许可】

Unknown