dc.contributor.author |
Bell, R |
en |
dc.contributor.author |
Pandanaboyana, Sanjay |
en |
dc.contributor.author |
Shah, N |
en |
dc.contributor.author |
Bartlett, Adam |
en |
dc.contributor.author |
Windsor, John |
en |
dc.contributor.author |
Smith, AM |
en |
dc.date.accessioned |
2017-06-30T03:51:39Z |
en |
dc.date.available |
2014-08-28 |
en |
dc.date.issued |
2015-03 |
en |
dc.identifier.citation |
HPB, March 2015, 17 (3), 202 - 208 |
en |
dc.identifier.issn |
1365-182X |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/33908 |
en |
dc.description.abstract |
Introduction. Delayed gastric emptying (DGE) is a common complication after a pylorus-preserving pancreatoduodenectomy (PPPD) and is associated with significant morbidity. This study determines whether DGE is affected by antecolic (AC) or retrocolic (RC) reconstruction after a PPPD. Method. An electronic search was performed of the MEDLINE, EMBASE and PubMed databases to identify all articles related to this topic. Pooled risk ratios (RR) were calculated for categorical outcomes, and mean differences (MD) for secondary continuous outcomes using the fixed-effects and random-effects models for meta-analysis. Results. Nine studies including 878 patients met the inclusion criteria. DGE was lower with an AC reconstruction RR 0.31 [0.12, 0.78] Z = 2.47 (P = 0.010). Length of stay (LOS) MD -4 days [-7.63, -1.14] Z = 2.65 (P = 0.008) and days to commence a solid diet MD -5 days [-6.63, -3.15] Z = 5.50 (P ≤ 0.000) were also significantly in favour of the AC group. There was no difference in the incidence of pancreatic fistula, intra-abdominal collection/bile leak or mortality between the two groups. Conclusion. AC reconstruction after PPPD is associated with a lower incidence of DGE. Time to oral intake was significantly shorter with AC reconstruction, with a reduced hospital stay. |
en |
dc.description.uri |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4333780/ |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
English |
en |
dc.publisher |
International Hepato-Pancreato-Biliary Association / Wiley |
en |
dc.relation.ispartofseries |
HPB |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://sherpa.ac.uk/romeo/issn/1365-182X/
https://www.elsevier.com/about/our-business/policies/sharing |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.subject |
Stomach |
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dc.subject |
Pylorus |
en |
dc.subject |
Humans |
en |
dc.subject |
Pancreatic Neoplasms |
en |
dc.subject |
Gastroparesis |
en |
dc.subject |
Disease-Free Survival |
en |
dc.subject |
Treatment Outcome |
en |
dc.subject |
Gastroenterostomy |
en |
dc.subject |
Pancreaticoduodenectomy |
en |
dc.subject |
Reconstructive Surgical Procedures |
en |
dc.subject |
Risk Assessment |
en |
dc.subject |
Survival Analysis |
en |
dc.subject |
Case-Control Studies |
en |
dc.subject |
Follow-Up Studies |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.subject |
Randomized Controlled Trials as Topic |
en |
dc.subject |
Anastomotic Leak |
en |
dc.subject |
Organ Sparing Treatments |
en |
dc.title |
Meta-analysis of antecolic versus retrocolic gastric reconstruction after a pylorus-preserving pancreatoduodenectomy |
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dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1111/hpb.12344 |
en |
pubs.issue |
3 |
en |
pubs.begin-page |
202 |
en |
pubs.volume |
17 |
en |
dc.identifier.pmid |
25267428 |
en |
pubs.author-url |
http://www.sciencedirect.com/science/article/pii/S1365182X15311904?via=ihub |
en |
pubs.end-page |
208 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Review |
en |
pubs.elements-id |
477231 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Surgery Department |
en |
pubs.org-id |
Science |
en |
pubs.org-id |
Science Research |
en |
pubs.org-id |
Maurice Wilkins Centre (2010-2014) |
en |
dc.identifier.eissn |
1477-2574 |
en |
pubs.record-created-at-source-date |
2017-06-30 |
en |
pubs.online-publication-date |
2015-09-30 |
en |
pubs.dimensions-id |
25267428 |
en |