Version 1
: Received: 7 June 2020 / Approved: 9 June 2020 / Online: 9 June 2020 (04:09:43 CEST)
Version 2
: Received: 3 September 2020 / Approved: 5 September 2020 / Online: 5 September 2020 (06:33:29 CEST)
Vasavada, B.; Patel, H. Routine Use of Feeding Jejunostomy in Pancreaticoduodenectomy: A Metaanalysis. Surgical Practice 2021, 25, 104–113, doi:10.1111/1744-1633.12493.
Vasavada, B.; Patel, H. Routine Use of Feeding Jejunostomy in Pancreaticoduodenectomy: A Metaanalysis. Surgical Practice 2021, 25, 104–113, doi:10.1111/1744-1633.12493.
Vasavada, B.; Patel, H. Routine Use of Feeding Jejunostomy in Pancreaticoduodenectomy: A Metaanalysis. Surgical Practice 2021, 25, 104–113, doi:10.1111/1744-1633.12493.
Vasavada, B.; Patel, H. Routine Use of Feeding Jejunostomy in Pancreaticoduodenectomy: A Metaanalysis. Surgical Practice 2021, 25, 104–113, doi:10.1111/1744-1633.12493.
Abstract
Aims and objectives: The primary aim of our study was to evaluate morbidity and mortality following feeding jejunostomy in pancreaticoduodenectomy compared to the control group. We also evaluated individual complications like delayed gastric emptying; post operative pancreatic fistula, superficial and deep surgical site infection. Material and Methods: The study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and MOOSE guidelines. Heterogeneity was measured using Q tests and I2.the random-effects model was used. Results: Four studies including Total of 1639 patients were included in the analysis. Total 843 patients were included in Feeding jejunostomy group and 796 patients included in control group without feeding jejunostomy. Over all morbidity was significantly higher in feeding jejunostomy group. (P = 0.001). There was no significant difference between both the groups. (P=0.07). Delayed gastric emptying was significantly higher in feeding jejunostomy group. [P=0.021]. There was no significant difference in development of pancreatic fistula between the two groups. Deep surgical site infection was significantly higher in feeding jejunostomy group. (P=0.013). Hospital stay was significantly more in feeding jejunostomy group (p<0.0001). There was no significant difference between readmission; TPN requirement and time to start oral feed. Conclusion: Feeding jejunostomy seems to be associated with increased morbidity and increased length of stay.
Medicine and Pharmacology, Gastroenterology and Hepatology
Copyright:
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.
Commenter: BHAVIN Vasavada
Commenter's Conflict of Interests: Author