Fan KX, Xu ZF, Wang MR, Li DT, Yang XS, Guo J. Outcomes for jejunal interposition reconstruction compared with Roux-en-Y anastomosis: A meta-analysis. World J Gastroenterol 2015; 21(10): 3093-3099 [PMID: 25780310 DOI: 10.3748/wjg.v21.i10.3093]
Corresponding Author of This Article
Kai-Xi Fan, MD, Central Laboratory, Third Department of Medicine, Affiliated Hospital of Shandong Academy of Medical Sciences, No. 38, Wuyingshan Road, Jinan 250031, Shandong Province, China. fankkxx@126.com
Research Domain of This Article
Surgery
Article-Type of This Article
Meta-Analysis
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Kai-Xi Fan, Central Laboratory, Third Department of Medicine, Affiliated Hospital of Shandong Academy of Medical Sciences, Jinan 250031, Shandong Province, China
Zhong-Fa Xu, Dao-Tang Li, Department of General Surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, Jinan 250031, Shandong Province, China
Mei-Rong Wang, School of Dentistry and Oral Health, Shandong Yingcai University, Jinan 250104, Shandong Province, China
Xiang-Shan Yang, Department of Pathology, Affiliated Hospital of Shandong Academy of Medical Sciences, Jinan 250031, Shandong Province, China
Jing Guo, School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan 250031, Shandong Province, China
Author contributions: Fan KX and Xu ZF contributed to this work equally; Fan KX and Xu ZF conceived the study, participated in the design, collected the data, performed statistical analyses, and drafted the manuscript; Wang MR, Li DT, Yang XS and Gou J conceived the study, participated in the design, and helped to draft the manuscript; all authors read and approved the final manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Kai-Xi Fan, MD, Central Laboratory, Third Department of Medicine, Affiliated Hospital of Shandong Academy of Medical Sciences, No. 38, Wuyingshan Road, Jinan 250031, Shandong Province, China. fankkxx@126.com
Telephone: +86-531-61368632 Fax: +86-531-61368631
Received: May 4, 2014 Peer-review started: May 4, 2014 First decision: June 10, 2014 Revised: July 21, 2014 Accepted: November 8, 2014 Article in press: November 11, 2014 Published online: March 14, 2015 Processing time: 318 Days and 17.1 Hours
Core Tip
Core tip: This study compared the clinical outcomes between jejunal interposition reconstruction and Roux-en-Y anastomosis after total gastrostomy in patients with gastric cancer through systematic review and meta-analysis. We found compared with Roux-en-Y anastomosis, jejunal interposition reconstruction significantly decreased the incidence of dumping syndrome, increased the prognostic nutritional index, and improved the degree of postoperative weight loss. However, there is no statistically significant difference in operative time, hospital stay, or incidence of reflux esophagitis. Therefore, we conclude that patients who underwent jejunal interposition reconstruction after total gastrostomy had a lower risk of postoperative long-term complications and improved life quality.
