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Diseases of the Colon & Rectum
Published in: Diseases of the Colon & Rectum 12/2008

01-12-2008 | Letter to the Editor

Meta-Analysis Results Need to Be Evaluated with Caution

Authors: Sven Petersen, M.D., Johannes Jongen, M.D.

Published in: Diseases of the Colon & Rectum | Issue 12/2008

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Excerpt

To the Editor—We read with interest the contribution by Jayaraman and colleagues.1 The authors did great work performing a systematic review, but caution is necessary regarding conclusions drawn from this analysis and we would to like to express our concerns about the paper’s recommendations regarding stapled hemorrhoidopexy.1 …
Literature
1.
Jayaraman S, Colquhoun PH, Malthaner RA. Stapled hemorrhoidopexy is associated with a higher long-term recurrence rate of internal hemorrhoids compared with conventional excisional hemorrhoid surgery. Dis Colon Rectum 2007;50:1297–305.PubMedCrossRef
2.
Chung CC, Cheung HY, Chan ES, et al. Stapled hemorrhoidopexy vs. harmonic scalpel hemorrhoidectomy: a randomized trial. Dis Colon Rectum 2005;48:1213–9.PubMedCrossRef
3.
Gravie JF, Lehur PA, Huten N, et al. Stapled hemorrhoidopexy versus milligan-morgan hemorrhoidectomy: a prospective, randomized, multicenter trial with 2-year postoperative follow up. Ann Surg 2005;242:29–35.PubMedCrossRef
4.
Ortiz H, Marzo J, Armendariz P, De Miguel M. Stapled hemorrhoidopexy vs. diathermy excision for fourth-degree hemorrhoids: a randomized, clinical trial and review of the literature. Dis Colon Rectum 2005;48:809–15.PubMedCrossRef
5.
Smyth EF, Baker RP, Wilken BJ, et al. Stapled versus excision haemorrhoidectomy: long-term follow up of a randomised controlled trial. Lancet 2003;361:1437–8.PubMedCrossRef
6.
Hetzer FH, Demartines N, Handschin AE, Clavien PA. Stapled vs excision hemorrhoidectomy: long-term results of a prospective randomized trial. Arch Surg 2002;137:337–40.PubMedCrossRef
7.
Ng KH, Ho KS, Ooi BS, et al. Experience of 3711 stapled haemorrhoidectomy operations. Br J Surg 2006;93:226–30.PubMedCrossRef
Metadata
Title
Meta-Analysis Results Need to Be Evaluated with Caution
Authors
Sven Petersen, M.D.
Johannes Jongen, M.D.
Publication date
01-12-2008
Publisher
Springer-Verlag
Published in
Diseases of the Colon & Rectum / Issue 12/2008
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI
https://doi.org/10.1007/s10350-008-9285-5

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