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BMC Gastroenterology

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Open Access 01-12-2018 | Research article

Braun anastomosis lowers the incidence of delayed gastric emptying following pancreaticoduodenectomy: a meta-analysis

Authors: Yanming Zhou, Bin Hu, Kongyuan Wei, Xiaoying Si

Published in: BMC Gastroenterology | Issue 1/2018

Abstract

Background

Delayed gastric emptying (DGE) is one of the most frequent complications following pancreaticoduodenectomy. This meta-analysis aimed to evaluate the impact of Braun enteroenterostomy on DGE following pancreaticoduodenectomy.

Methods

A systematic review of the literature was performed to identify relevant studies. Statistical analysis was carried out using Review Manager software 5.3.

Results

Eleven studies involving 1672 patients (1005 in Braun group and 667 in non-Braun group) were included in the meta-analysis. Braun enteroenterostomy was associated with a statistically significant reduction in overall DGE (odds ratios [OR] 0.32, 95% confidence intervals [CI] 0.24 to 0.43; P <0.001), clinically significant DGE (OR 0.27, 95% CI 0.15 to 0.51; P <0.001), bile leak (OR 0.50, 95% CI 0.29 to 0.86; P = 0.01), and length of hospital stay (weighted mean difference -1.66, 95% CI -2.95 to 00.37; P = 0.01).

Conclusions

Braun enteroenterostomy minimizes the rate and severity of DGE following pancreaticoduodenectomy.

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Title: Braun anastomosis lowers the incidence of delayed gastric emptying following pancreaticoduodenectomy: a meta-analysis
Authors: Yanming Zhou
Bin Hu
Kongyuan Wei
Xiaoying Si
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Gastroenterology / Issue 1/2018
Electronic ISSN: 1471-230X
DOI: https://doi.org/10.1186/s12876-018-0909-5

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