Colonic Interposition After Adult Oesophagectomy: Systematic Review and Meta-analysis of Conduit Choice and Outcome
| Autor: | Wyn G. Lewis, David S. Chan, Antonio Foliaki, Guy Blackshaw, Jade Brown, Geoffrey W. B. Clark |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Esophageal Neoplasms business.industry Colon Gastroenterology Outcome measures Colonic conduit Cochrane Library Surgically-Created Structures Transplantation Autologous Surgery Colonic interposition Esophagectomy 03 medical and health sciences 0302 clinical medicine Esophagus Treatment Outcome 030220 oncology & carcinogenesis Meta-analysis Medicine Humans 030211 gastroenterology & hepatology business |
| Zdroj: | Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract. 22(6) |
| ISSN: | 1873-4626 |
| Popis: | Colonic interposition is a second-line option after oesophagectomy when a gastric neo-oesophagus is not viable. There is no consensus on the optimum anatomical colonic conduit (right or left), or route of placement (posterior mediastinal, retrosternal or subcutaneous). The aim of this review was to determine the optimum site and route of neo-oesophageal conduit after adult oesophagectomy. PubMed, MEDLINE, and the Cochrane Library (January 1985 to January 2017) were systematically searched for studies which reported outcomes following colonic interposition in adults. The outcome measures were overall morbidity and mortality. Twenty-seven observational studies involving 1849 patients [1177 males; median age (range) 60.5 (18–84) years] undergoing colonic interposition for malignant (n = 697) and benign (n = 1152) pathology were analysed. Overall pooled morbidity of left vs. right colonic conduit was 15.7% [95% CI (11.93–19.46), p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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