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

BMC Gastroenterology

Research Article

Jincan Lin¹  Hua Li¹  Lupeng Wu²  Bin Li²  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: Delayed gastric emptying;    Gastro/duodenojejunostomy reconstruction;    Pancreatoduodenectomy;    Meta-analysis;   

DOI  :  10.1186/s12876-015-0300-8

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

来源: Springer

【 摘 要 】

BackgroundDelayed 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.MethodsRandomized 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.ResultsFive 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.ConclusionsThe 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】

CC BY   
© Zhou et al. 2015