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Revisiting the gastric pull‐up for pharyngoesophageal reconstruction: A systematic review and meta‐analysis of mortality and morbidity
Author(s) -
Butskiy Oleksandr,
Rahmanian Ronak,
White Richard A.,
Durham Scott,
Anderson Donald W.,
Prisman Eitan
Publication year - 2016
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.24477
Subject(s) - medicine , meta analysis , anastomosis , odds ratio , cancer , surgery , gastroesophageal junction , resection , mortality rate , general surgery , adenocarcinoma
Gastric pull‐up (GPU) is among the oldest techniques for reconstructing the pharyngoesophageal junction following cancer resection. This review examines morbidity and mortality rates following GPU pharyngoesophageal junction reconstruction from 1959 until present: 77 studies, 2,705 patients. The odds of mortality, anastomotic complications, and other complications decreased by 37.2% (95%CI = 28.0–45.3%; P < 0.0001), 8.0% (95%CI = −2.1 to 17.1%; P = 0.12), 21.0% (95%CI 3.5–35.2%; P = 0.021) per decade respectively. J. Surg. Oncol. 2016;114:907–914 . © 2016 Wiley Periodicals, Inc.