Laparoscopic gastrojejunostomy for gastric outlet obstruction in patients with unresectable hepatopancreatobiliary cancers: A personal series and systematic review of the literature

Table 1 Systematic review and meta-analysis: Stents vs gastrojejunostomy

Ref.	Type of study	GJ studies	Surgery	Endoscopic stent	No differences
Minata et al[8], 2016	Systematic review	LGJ (Mehta 2006, Jeurnink 2010) OGJ (Jeurnink 2010, Fiori 2013)	Lower re-intervention rate	Less invasive COVERED: Higher migration UNCOVERED: Higher obstruction	Technical success Complications
Nagaraja et al[13], 2014	Meta-analisis	Laparoscopic GJ (Mittal 2004, Mehta 2006, Jeurnink 2007, Jeurnink 2010)		Shorter LOS	Technical and clinical outcomes
Ly et al[38], 2010	Systematic review	Open GJ (Jeurnink 2007, El-Shabrawi 2006, Mehta 2006, Espinal 2006, Mejia 2006, del Piano 2005, Maetani 2005, Fiori 2004, Mittal 2004, Maetani 2004, Johnsson 2004, Wong 2002, Yim 2001) Laparoscopic GJ (Jeurnink 2007, Mehta 2006, Mittal 2004)	More major medical complications	More likely to tolerate an oral intake More likely to tolerate an oral diet earlier Shorter LOS	Survival 30 d-mortality Major complications

LOS: Length of stay; GJ: Gastrojejunostomy.