Gastric-tube versus whole-stomach esophagectomy for esophageal cancer: A systematic review and meta-analysis

Wenxiong Zhang, Dongliang Yu, Jinhua Peng, Jianjun Xu and Yiping Wei

PLOS ONE, 2017, vol. 12, issue 3, 1-10

Abstract: Objectives: To conduct a systematic review and meta-analysis of studies comparing the gastric-tube vs. whole-stomach for esophageal cancer in order to determine the optimal surgical technique of esophagectomy. Methods: A comprehensive literature search was performed using PubMed, EMBASE, ScienceDirect, Ovid MEDLINE, Cochrane Library, Web of Science, Google Scholar, and Scopus. Clinical trials that compared the gastric-tube versus whole-stomach for esophageal cancer were selected. The clinical endpoints included anastomotic leakage, anastomotic stenosis, reflux esophagitis, pneumonia, delayed gastric emptying, and thoracic stomach syndrome. Results: A total of 6 articles (1571 patients) were included. Compared to the whole-stomach approach, the gastric-tube approach was associated with a lower incidence of reflux esophagitis (95% confidence interval [CI]: 0.16 to 0.81, p = 0.01) and thoracic stomach syndrome (95% CI: 0.17 to 0.55, p

Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0173416

DOI: 10.1371/journal.pone.0173416

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