Table of Contents Author Guidelines Submit a Manuscript
International Journal of Surgical Oncology
Volume 2017 (2017), Article ID 7526494, 18 pages
https://doi.org/10.1155/2017/7526494
Review Article

Pancreatogastrostomy versus Pancreatojejunostomy: An Up-to-Date Meta-Analysis of RCTs

1Department of Surgery, University Hospital of Larissa, Mezourlo, 41110 Larissa, Greece
2Postgraduate Programme (MSc): Research Methodology in Biomedicine, Biostatistics and Clinical Bioinformatics, University of Thessaly, Larissa, Greece
3Research Unit for General Medicine and Primary Health Care, Faculty of Medicine, School for Health Sciences, University of Ioannina, Ioannina, Greece
4Tufts University School of Medicine, Boston, MA, USA
5Department of Nephrology, Medical School, University of Thessaly, Larissa, Greece
6Department of Biomathematics, University of Thessaly School of Medicine, Larissa, Greece

Correspondence should be addressed to Konstantinos Perivoliotis; moc.liamg@91irepk

Received 14 January 2017; Revised 22 April 2017; Accepted 14 May 2017; Published 17 July 2017

Academic Editor: George H. Sakorafas

Copyright © 2017 Konstantinos Perivoliotis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. M. E. Lidsky, Z. Sun, D. P. Nussbaum, M. A. Adam, P. J. Speicher, and D. G. Blazer, “Going the Extra Mile: Improved Survival for Pancreatic Cancer Patients Traveling to High-volume Centers,” Annals of Surgery, 2016. View at Publisher · View at Google Scholar · View at Scopus
  2. E. M. Gleeson, M. F. Shaikh, P. A. Shewokis et al., “WHipple-ABACUS, a simple, validated risk score for 30-day mortality after pancreaticoduodenectomy developed using the ACS-NSQIP database,” Surgery, vol. 160, no. 5, pp. 1279–1287, 2016. View at Publisher · View at Google Scholar
  3. J. Xiong, P. Szatmary, W. Huang et al., “Enhanced recovery after surgery program in patients undergoing pancreaticoduodenectomy a prisma-compliant systematic review and meta-analysis,” Medicine (United States), vol. 95, no. 18, Article ID e3497, 2016. View at Publisher · View at Google Scholar · View at Scopus
  4. G. Conzo, C. Gambardella, E. Tartaglia et al., “Pancreatic fistula following pancreatoduodenectomy. Evaluation of different surgical approaches in the management of pancreatic stump. Literature review,” International Journal of Surgery, vol. 21, no. 1, pp. S4–S9, 2015. View at Publisher · View at Google Scholar · View at Scopus
  5. J. A. Khalil, N. Mayo, S. Dumitra et al., “Pancreatic fistulae after a pancreatico-duodenectomy: Are pancreatico-gastrostomies safer than pancreatico-jejunostomies? An expertise-based trial and propensity-score adjusted analysis,” HPB, vol. 16, no. 12, pp. 1062–1067, 2014. View at Publisher · View at Google Scholar · View at Scopus
  6. J. P. Arnaud, J. J. Tuech, C. Cervi, and R. Bergamaschi, “Pancreaticogastrostomy compared with pancreaticojejunostomy after pancreaticoduodenectomy,” European Journal of Surgery, vol. 165, no. 4, pp. 357–362, 1999. View at Publisher · View at Google Scholar · View at Scopus
  7. K. Heeger, V. Fendrich, J. Waldmann, P. Langer, V. Kanngießer, and D. K. Bartsch, “Reduced complication rate after modified binding purse-string-mattress sutures pancreatogastrostomy versus duct-to-mucosa pancreaticojejunostomy,” Surgeon, vol. 11, no. 5, pp. 246–252, 2013. View at Publisher · View at Google Scholar · View at Scopus
  8. E. Oussoultzoglou, P. Bachellier, J.-M. Bigourdan, J.-C. Weber, H. Nakano, and D. Jaeck, “Pancreaticogastrostomy decreased relaparotomy caused by pancreatic fistula after pancreaticoduodenectomy compared with pancreaticojejunostomy,” Archives of Surgery, vol. 139, no. 3, pp. 327–335, 2004. View at Publisher · View at Google Scholar · View at Scopus
  9. S. Takano, Y. Ito, Y. Watanabe, T. Yokoyama, N. Kubota, and S. Iwai, “Pancreaticojejunostomy versus pancreaticogastrostomy in reconstructions following pancreaticoduodenectomy,” British Journal of Surgery, vol. 87, no. 4, pp. 423–427, 2000. View at Publisher · View at Google Scholar · View at Scopus
  10. J. J. Tuech, P. Pessaux, R. Duplessis, F. Villapadierna, J. Ronceray, and J. P. Arnaud, “Pancreatico-jejunal vs pancreatico-gastric anastomosis after pancreatico-duodenectomy. A retrospective comparative study,” Chirurgie, vol. 123, no. 5, pp. 450–455, 1998. View at Publisher · View at Google Scholar · View at Scopus
  11. T. Keck, U. F. Wellner, and M. Bahra, “Pancreatogastrostomy versus pancreatojejunostomy for RECOnstruction After PANCreatoduodenectomy (RECOPANC, DRKS 00000767),” Annals of Surgery, vol. 263, no. 3, pp. 440–449, 2015. View at Publisher · View at Google Scholar
  12. G. P. Guerrini, P. Soliani, G. D'Amico et al., “Pancreaticojejunostomy versus pancreaticogastrostomy after pancreaticoduodenectomy: an up-to-date meta-analysis,” Journal of Investigative Surgery, vol. 29, no. 3, pp. 175–184, 2016. View at Publisher · View at Google Scholar · View at Scopus
  13. F.-B. Liu, J.-M. Chen, W. Geng et al., “Pancreaticogastrostomy is associated with significantly less pancreatic fistula than pancreaticojejunostomy reconstruction after pancreaticoduodenectomy: A meta-analysis of seven randomized controlled trials,” HPB, vol. 17, no. 2, pp. 123–130, 2015. View at Publisher · View at Google Scholar · View at Scopus
  14. W. Que, H. Fang, B. Yan et al., “Pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy: a meta-analysis of randomized controlled trials,” American Journal of Surgery, vol. 209, no. 6, pp. 1074–1082, 2015. View at Publisher · View at Google Scholar · View at Scopus
  15. D. Moher, A. Liberati, J. Tetzlaff, and D. G. Altman, “Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement,” PLoS Medicine, vol. 6, no. 7, Article ID e1000097, 2009. View at Publisher · View at Google Scholar
  16. C. Bassi, C. Dervenis, G. Butturini et al., “Postoperative pancreatic fistula: an international study group (ISGPF) definition,” Surgery, vol. 138, no. 1, pp. 8–13, 2005. View at Publisher · View at Google Scholar · View at Scopus
  17. M. N. Wente, C. Bassi, C. Dervenis et al., “Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the International Study Group of Pancreatic Surgery (ISGPS),” Surgery, vol. 142, no. 5, pp. 761–768, 2007. View at Publisher · View at Google Scholar · View at Scopus
  18. M. N. Wente, J. A. Veit, C. Bassi et al., “Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition,” Surgery, vol. 142, no. 1, pp. 20–25, 2007. View at Publisher · View at Google Scholar · View at Scopus
  19. J. P. T. Higgins, D. G. Altman, P. C. Gøtzsche et al., “The Cochrane Collaboration's tool for assessing risk of bias in randomised trials,” The British Medical Journal, vol. 343, no. 7829, Article ID d5928, 2011. View at Publisher · View at Google Scholar · View at Scopus
  20. S. P. Hozo, B. Djulbegovic, and I. Hozo, “Estimating the mean and variance from the median, range, and the size of a sample,” BMC Medical Research Methodology, vol. 5, article 13, 2005. View at Publisher · View at Google Scholar · View at Scopus
  21. C. Bassi, M. Falconi, E. Molinari et al., “Reconstruction by pancreaticojejunostomy versus pancreaticogastrostomy following pancreatectomy: results of a comparative study,” Annals of Surgery, vol. 242, no. 6, pp. 767–773, 2005. View at Publisher · View at Google Scholar · View at Scopus
  22. J.-P. Duffas, B. Suc, S. Msika et al., “A controlled randomized multicenter trial of pancreatogastrostomy or pancreatojejunostomy after pancreatoduodenectomy,” American Journal of Surgery, vol. 189, no. 6, pp. 720–729, 2005. View at Publisher · View at Google Scholar · View at Scopus
  23. A. El Nakeeb, E. Hamdy, A. M. Sultan et al., “Isolated Roux loop pancreaticojejunostomy versus pancreaticogastrostomy after pancreaticoduodenectomy: a prospective randomized study,” HPB, vol. 16, no. 8, pp. 713–722, 2014. View at Publisher · View at Google Scholar · View at Scopus
  24. L. Fernàndez-Cruz, R. Cosa, L. Blanco, M. A. López-Boado, and E. Astudillo, “Pancreatogastrostomy with gastric partition after pylorus-preserving pancreatoduodenectomy versus conventional pancreatojejunostomy a prospective randomized study,” Annals of Surgery, vol. 248, no. 6, pp. 930–937, 2008. View at Publisher · View at Google Scholar · View at Scopus
  25. J. Figueras, L. Sabater, P. Planellas et al., “Randomized clinical trial of pancreaticogastrostomy versus pancreaticojejunostomy on the rate and severity of pancreatic fistula after pancreaticoduodenectomy,” British Journal of Surgery, vol. 100, no. 12, pp. 1597–1605, 2013. View at Publisher · View at Google Scholar · View at Scopus
  26. J. Grendar, J.-F. Ouellet, F. R. Sutherland, O. F. Bathe, C. G. Ball, and E. Dixon, “In search of the best reconstructive technique after pancreaticoduodenectomy: pancreaticojejunostomy versus pancreaticogastrostomy,” Canadian Journal of Surgery, vol. 58, no. 3, pp. 154–159, 2015. View at Publisher · View at Google Scholar · View at Scopus
  27. B. Topal, S. Fieuws, R. Aerts et al., “Pancreaticojejunostomy versus pancreaticogastrostomy reconstruction after pancreaticoduodenectomy for pancreatic or periampullary tumours: a multicentre randomised trial,” The Lancet Oncology, vol. 14, no. 7, pp. 655–662, 2013. View at Publisher · View at Google Scholar · View at Scopus
  28. U. F. Wellner, O. Sick, M. Olschewski, U. Adam, U. T. Hopt, and T. Keck, “Randomized controlled single-center trial comparing pancreatogastrostomy versus pancreaticojejunostomy after partial pancreatoduodenectomy,” Journal of Gastrointestinal Surgery, vol. 16, no. 9, pp. 1686–1695, 2012. View at Publisher · View at Google Scholar · View at Scopus
  29. C. J. Yeo, J. L. Cameron, M. M. Maher et al., “A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy,” Annals of Surgery, vol. 222, no. 4, pp. 580–592, 1995. View at Publisher · View at Google Scholar · View at Scopus
  30. B. Topal, R. Aerts, T. Hendrickx, S. Fieuws, and F. Penninckx, “Determinants of complications in pancreaticoduodenectomy,” European Journal of Surgical Oncology, vol. 33, no. 4, pp. 488–492, 2007. View at Publisher · View at Google Scholar · View at Scopus
  31. A. El Nakeeb, T. Salah, A. Sultan et al., “Pancreatic anastomotic leakage after pancreaticoduodenectomy. Risk factors, clinical predictors, and management (single center experience),” World Journal of Surgery, vol. 37, no. 6, pp. 1405–1418, 2013. View at Publisher · View at Google Scholar · View at Scopus
  32. P. Lei, J. Fang, Y. Huang, Z. Zheng, B. Wei, and H. Wei, “Pancreaticogastrostomy or pancreaticojejunostomy? Methods of digestive continuity reconstruction after pancreaticodudenectomy: a meta-analysis of randomized controlled trials,” International Journal of Surgery, vol. 12, no. 12, pp. 1444–1449, 2014. View at Publisher · View at Google Scholar · View at Scopus
  33. B. Menahem, L. Guittet, A. Mulliri, A. Alves, and J. Lubrano, “Pancreaticogastrostomy is superior to pancreaticojejunostomy for prevention of pancreatic fistula after pancreaticoduodenectomy: an updated meta-analysis of randomized controlled trials,” Annals of Surgery, vol. 261, no. 5, pp. 882–887, 2015. View at Publisher · View at Google Scholar · View at Scopus
  34. J. J. Xiong, C. L. Tan, P. Szatmary et al., “Meta-analysis of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy,” British Journal of Surgery, vol. 101, no. 10, pp. 1196–1208, 2014. View at Publisher · View at Google Scholar · View at Scopus
  35. Y. Zhou, J. Yu, L. Wu, and B. Li, “Meta-analysis of pancreaticogastrostomy versus pancreaticojejunostomy on occurrences of postoperative pancreatic fistula after pancreaticoduodenectomy,” Asian Journal of Surgery, vol. 38, no. 3, article no. 199, pp. 155–160, 2015. View at Publisher · View at Google Scholar · View at Scopus
  36. N. O. MacHado, “Pancreatic fistula after pancreatectomy: definitions, risk factors, preventive measures, and management—review,” International Journal of Surgical Oncology, vol. 2012, Article ID 602478, 10 pages, 2012. View at Publisher · View at Google Scholar · View at Scopus
  37. S. Hirono, Y. Murakami, M. Tani et al., “Identification of risk factors for pancreatic exocrine insufficiency after pancreaticoduodenectomy using a13C-labeled mixed triglyceride breath test,” World Journal of Surgery, vol. 39, no. 2, pp. 516–525, 2015. View at Publisher · View at Google Scholar · View at Scopus
  38. E. Lemaire, D. O'Toole, A. Sauvanet, P. Hammel, J. Belghiti, and P. Ruszniewski, “Functional and morphological changes in the pancreatic remnant following pancreaticoduodenectomy with pancreaticogastric anastomosis,” British Journal of Surgery, vol. 87, no. 4, pp. 434–438, 2000. View at Publisher · View at Google Scholar · View at Scopus
  39. Y. Tomimaru, Y. Takeda, S. Kobayashi et al., “Comparison of postoperative morphological changes in remnant pancreas between pancreaticojejunostomy and pancreaticogastrostomy after pancreaticoduodenectomy,” Pancreas, vol. 38, no. 2, pp. 203–207, 2009. View at Publisher · View at Google Scholar · View at Scopus
  40. W. Fang, C. Su, Y. Shyr et al., “Functional and morphological changes in pancreatic remnant after pancreaticoduodenectomy,” Pancreas, vol. 35, no. 4, pp. 361–365, 2007. View at Publisher · View at Google Scholar
  41. S. Crippa, R. Cirocchi, J. Randolph et al., “Pancreaticojejunostomy is comparable to pancreaticogastrostomy after pancreaticoduodenectomy: an updated meta-analysis of randomized controlled trials,” Langenbeck's Archives of Surgery, vol. 401, no. 4, pp. 427–437, 2016. View at Publisher · View at Google Scholar · View at Scopus
  42. C. Bassi, G. Marchegiani, C. Dervenis et al., “The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 Years After,” Surgery, vol. 161, no. 3, pp. 584–591, 2017. View at Publisher · View at Google Scholar