دورية أكاديمية
Systematic review and meta-analysis of laparoscopic Nissen fundoplication with or without division of the short gastric vessels.
| العنوان: | Systematic review and meta-analysis of laparoscopic Nissen fundoplication with or without division of the short gastric vessels. |
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| المؤلفون: | Markar SR; Department of General Surgery, University College London Hospitals NHS Foundation Trust, London, UK., Karthikesalingam AP, Wagner OJ, Jackson D, Hewes JC, Vyas S, Hashemi M |
| المصدر: | The British journal of surgery [Br J Surg] 2011 Aug; Vol. 98 (8), pp. 1056-62. Date of Electronic Publication: 2011 May 10. |
| نوع المنشور: | Journal Article; Meta-Analysis; Review; Systematic Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press on behalf of BJS Foundation Ltd Country of Publication: England NLM ID: 0372553 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2168 (Electronic) Linking ISSN: 00071323 NLM ISO Abbreviation: Br J Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2021- : [Oxford] : Oxford University Press on behalf of BJS Foundation Ltd. Original Publication: [Bristol, England : Baltimore : John Wright & Sons ; Williams & Wilkins Co. |
| مواضيع طبية MeSH: | Fundoplication/*methods , Gastroesophageal Reflux/*surgery , Laparoscopy/*methods , Postoperative Complications/*etiology , Stomach/*blood supply, Deglutition Disorders/etiology ; Humans ; Length of Stay ; Pressure ; Randomized Controlled Trials as Topic ; Recurrence ; Reoperation ; Treatment Outcome |
| مستخلص: | Background: The aim of this meta-analysis was to provide a pooled analysis of individual trials comparing clinical outcome following laparoscopic Nissen fundoplication with or without division of the short gastric vessels (SGVs). Methods: Primary outcome measures were the requirement for reoperation, and the presence of postoperative gastro-oesophageal reflux and postoperative dysphagia. Secondary outcome measures were duration of operation, length of hospital stay, postoperative complications (within 30 days of surgery), postoperative gas bloat syndrome, lower oesophageal sphincter resting pressure and DeMeester score. Pooled odds ratios were calculated for categorical outcomes, and weighted mean differences for secondary continuous outcomes, using random-effects models for meta-analysis. Results: Five randomized trials were included in the analysis. There was no statistically significant effect on the requirement for reoperation, or presence of postoperative dysphagia or reflux. SGV division was associated with a longer duration of operation and a reduced postoperative lower oesophageal sphincter pressure. There was no statistically significant difference in length of hospital stay, postoperative complications, postoperative gas bloat syndrome or DeMeester score. Conclusion: This meta-analysis has demonstrated that clinical outcome following laparoscopic Nissen fundoplication appears to be similar regardless of whether the short gastric vessels are divided. However, it is not possible to exclude many potentially important clinical differences and further studies are needed. (Copyright © 2011 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.) |
| معلومات مُعتمدة: | MC_U105260558 United Kingdom MRC_ Medical Research Council |
| SCR Disease Name: | Gas bloat syndrome |
| تواريخ الأحداث: | Date Created: 20110512 Date Completed: 20110907 Latest Revision: 20220318 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1002/bjs.7519 |
| PMID: | 21560121 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1365-2168 |
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| DOI: | 10.1002/bjs.7519 |