BACKGROUND/AIMS: This study aims to evaluate the application value of two reconstruction technique types, namely, Roux-en-Y reconstruction with pouch (RYP) and jejunal interposition with pouch (JIP), after total gastrectomy. METHODOLOGY: MEDLINE, EM-BASE, PubMed, CBM, and Vol. 2, 2010 of the Cochrane Library were indexed using computers, whereas relevant Chinese journals were manually indexed. After including total gastrectomy, random RYP and JIP control tests and evaluations on their methodological quality were conducted. Revman 5.1 software was utilised for the statistical analysis. RESULTS: Three random control tests that included patients of 166 cases were performed. Meta-analysis results indicated that RYP involved a shorter operation time than JIP (WMD = -17.27, 95% CI = -29.58 to -4.96). For postoperative complications (OR = 0.73, 95% CI = 0.33 to 1.59), no substantial differences were found in bile reflux (OR = 0.19, 95% CI = 0.04 to 0.94), postoperative nutritional status, and weight. CONCLUSIONS: The application value of RYP and JIP clinical results need further random control research to fully evaluate their efficacies.
BACKGROUND/AIMS: This study aims to evaluate the application value of two reconstruction technique types, namely, Roux-en-Y reconstruction with pouch (RYP) and jejunal interposition with pouch (JIP), after total gastrectomy. METHODOLOGY: MEDLINE, EM-BASE, PubMed, CBM, and Vol. 2, 2010 of the Cochrane Library were indexed using computers, whereas relevant Chinese journals were manually indexed. After including total gastrectomy, random RYP and JIP control tests and evaluations on their methodological quality were conducted. Revman 5.1 software was utilised for the statistical analysis. RESULTS: Three random control tests that included patients of 166 cases were performed. Meta-analysis results indicated that RYP involved a shorter operation time than JIP (WMD = -17.27, 95% CI = -29.58 to -4.96). For postoperative complications (OR = 0.73, 95% CI = 0.33 to 1.59), no substantial differences were found in bile reflux (OR = 0.19, 95% CI = 0.04 to 0.94), postoperative nutritional status, and weight. CONCLUSIONS: The application value of RYP and JIP clinical results need further random control research to fully evaluate their efficacies.
Authors: Rachel S van der Post; Ingrid P Vogelaar; Fátima Carneiro; Parry Guilford; David Huntsman; Nicoline Hoogerbrugge; Carlos Caldas; Karen E Chelcun Schreiber; Richard H Hardwick; Margreet G E M Ausems; Linda Bardram; Patrick R Benusiglio; Tanya M Bisseling; Vanessa Blair; Eveline Bleiker; Alex Boussioutas; Annemieke Cats; Daniel Coit; Lynn DeGregorio; Joana Figueiredo; James M Ford; Esther Heijkoop; Rosella Hermens; Bostjan Humar; Pardeep Kaurah; Gisella Keller; Jennifer Lai; Marjolijn J L Ligtenberg; Maria O'Donovan; Carla Oliveira; Hugo Pinheiro; Krish Ragunath; Esther Rasenberg; Susan Richardson; Franco Roviello; Hans Schackert; Raquel Seruca; Amy Taylor; Anouk Ter Huurne; Marc Tischkowitz; Sheena Tjon A Joe; Benjamin van Dijck; Nicole C T van Grieken; Richard van Hillegersberg; Johanna W van Sandick; Rianne Vehof; J Han van Krieken; Rebecca C Fitzgerald Journal: J Med Genet Date: 2015-05-15 Impact factor: 6.318