Comparative evaluation of reconstructive procedures after gastrectomy with and without duodenal passage preservation in gastric cancer: a systematic review and meta-analysis

Autor: I. B. Uvarov, O. M. Asipovich, S. N. Derbenev
Jazyk: ruština
Rok vydání: 2022
Předmět:
Zdroj: Кубанский научный медицинский вестник, Vol 29, Iss 2, Pp 58-78 (2022)
Druh dokumentu: article
ISSN: 1608-6228
2541-9544
DOI: 10.25207/1608-6228-2022-29-2-58-78
Popis: Background. Optimal reconstruction after gastrectomy (GE) in gastric cancer (GC) is currently a pressing issue, with research continuing to advance functional methods, especially those preserving duodenal passage, to improve the patient’s quality of life (QOL) and nutritional status (NS).Objectives. An evaluation of randomised clinical trials (RCTs) targeting GC patients with radical GE and comparing duodenal passage-preserving (DPP) and non-preserving (NDPP) reconstruction techniques in terms of immediate outcomes, post-gastrectomy syndrome, NS and QOL.Methods. Sources were mined in the PubMed, Cochrane Library, Google Scholar electronic databases, as well as CyberLeninka and eLibrary national resources. The RCTs meeting eligibility criteria (15 publications) were covered in a meta-analysis. Outcome variations were defined via odds ratio (OR), standard error estimated with 95% CI, statistical significance was assumed at p
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