胰十二指肠切除术后胃/十二指肠空肠吻合术的结肠前或结肠后重建对胃排空延迟的影响：一项荟萃分析。

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

作者信息

Zhou Yanming, Lin Jincan, Wu Lupeng, Li Bin, Li Hua

机构信息

Department of Hepatobiliary & Pancreatovascular Surgery, First affiliated Hospital of Xiamen University; Oncologic Center of Xiamen, Xiamen, China.

Department of Digestive Diseases, First Xiamen Hospital, Fujian Medical University, Xiamen, China.

出版信息

BMC Gastroenterol. 2015 Jun 16;15:68. doi: 10.1186/s12876-015-0300-8.

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.