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Outcomes of Gastric Conduit in Corrosive Esophageal Stricture: a Systematic Review and Meta-analysis

Authors :
Akhil Dhanesh Goel
Vaibhav Kumar Varshney
Raghav Nayar
Source :
Journal of Gastrointestinal Surgery. 26:224-234
Publication Year :
2021
Publisher :
Springer Science and Business Media LLC, 2021.

Abstract

Gastric conduit has emerged as the preferred treatment option for both esophageal bypass and replacement for corrosive stricture of the esophagus. There is a lack of consensus and a dearth of published literature regarding the short- and long-term complications of using a gastric conduit. This meta-analysis aims to evaluate the outcomes, morbidity, and complications associated with it. MEDLINE, Cochrane Library, and Google Scholar (January 1960 to May 2020) were systematically searched for all studies reporting short- and/or long-term outcomes and complications following the use of a gastric conduit for corrosive esophageal stricture. Seven observational studies involving 489 patients (53.2% males, mean age ranging from 22.1 to 41 years) who had ingested a corrosive substance (acid in 74.8%, alkali in 20.7%, and unknown in the rest) were analyzed. Gastric pull-up was performed in 56.03% (274/489) of patients. Median blood loss in the procedure was 187.5 ml with a mean operative duration of 298.75 ± 55.73 min. The overall pooled prevalence rate of anastomotic leak was 14.4% [95% CI (6.2–24.0); p

Details

ISSN :
18734626 and 1091255X
Volume :
26
Database :
OpenAIRE
Journal :
Journal of Gastrointestinal Surgery
Accession number :
edsair.doi.dedup.....cd6519b20f6789f0ee403829e70498ee