OBJECTIVE: To evaluate risk factors for gallstones after gastrectomy. METHODS: To identify documents published from 1990 to 2011 the Pubmed, Cochrane Library, Springer Link, CBM and WanFang databases were searched and a meta-analysis was performed with RevMan 5.2 software for odds ratios and 95%CIs. RESULTS: Fifteen studies were selected for the meta-analysis. The pooled ORs [95%CIs] were 0.56 [0.43, 0.73], (P<0.0001) for digestive tract reconstruction, 0.80 [0.54, 1.17], (P=0.25) for pylorus preservation, 0.33[0.15, 0.75], (P=0.008) for resection scope of stomach, 0.33 [0.15, 0.75], (P=0.008) for lymphadenectomy, and 0.13 [0.05, 0.33], (P<0.0001) for vagotomy. CONCLUSIONS: Digestive tract physical reconstruction and vagus nerve preservation can reduce the morbidity of gallstones after gastrectomy. Total gastrectomy can add to the morbidity of galltones as does increasing the degree of lymph node dissection. There was no significant difference in gallstones with or without pylorus preservation.
OBJECTIVE: To evaluate risk factors for gallstones after gastrectomy. METHODS: To identify documents published from 1990 to 2011 the Pubmed, Cochrane Library, Springer Link, CBM and WanFang databases were searched and a meta-analysis was performed with RevMan 5.2 software for odds ratios and 95%CIs. RESULTS: Fifteen studies were selected for the meta-analysis. The pooled ORs [95%CIs] were 0.56 [0.43, 0.73], (P<0.0001) for digestive tract reconstruction, 0.80 [0.54, 1.17], (P=0.25) for pylorus preservation, 0.33[0.15, 0.75], (P=0.008) for resection scope of stomach, 0.33 [0.15, 0.75], (P=0.008) for lymphadenectomy, and 0.13 [0.05, 0.33], (P<0.0001) for vagotomy. CONCLUSIONS: Digestive tract physical reconstruction and vagus nerve preservation can reduce the morbidity of gallstones after gastrectomy. Total gastrectomy can add to the morbidity of galltones as does increasing the degree of lymph node dissection. There was no significant difference in gallstones with or without pylorus preservation.
Authors: Dong Jin Park; Ki Hyun Kim; Young Suk Park; Sang-Hoon Ahn; Do Joong Park; Hyung-Ho Kim Journal: J Gastric Cancer Date: 2016-06-24 Impact factor: 3.720
Authors: So Young Kim; Woo Jin Bang; Hyun Lim; Man Sup Lim; Miyoung Kim; Hyo Geun Choi Journal: Medicine (Baltimore) Date: 2019-05 Impact factor: 1.817
Authors: Zhi Zheng; Weitao Zhang; Chenglin Xin; Na Zeng; Mengyi Li; Xiaoye Liu; Jun Cai; Fandong Meng; Dong Liu; Jie Zhang; Jie Yin; Jun Zhang; Zhongtao Zhang Journal: Ann Transl Med Date: 2021-06