Braun enteroenterostomy reduces delayed XXXX : A systematic review and meta-analysis.

@entity1 @entity190 @entity6177 @entity260 @entity3472 @entity356 @entity5157
BACKGROUND: It remains controversial whether the additional Braun enteroenterostomy ( @entity5157 ) is necessary in decreasing delayed @entity356 (DGE) following pancreaticoduodenectomy (PD). This meta-analysis aims to assess the efficacy of the additional @entity5157 in reducing DGE after PD. METHODS: PubMed, EMBASE, Science Citation Index and The Cochrane Library were searched to identify relevant studies. Articles published before May 15, 2015 comparing @entity5157 with traditional gastrojejunostomy during PD were selected. The evaluated end points consist of intro-operative outcomes as well as @entity260 . RESULTS: Seven observational clinical studies that recruited 1401 @entity1 were included. This meta-analysis indicated that the occurrence of DGE was lower in Braun group (odds ratio [OR], 0.30; 95% confidence interval [CI], 0.15 to 0.60; P  =  0.0007). Overall morbidity (OR, 0.61; 95%CI, 0.47 to 0.80; P  =  0.0003) and the length of hospital stay (LOS) (weighted mean difference [WMD],  -1.80; 95%CI,  -3.4 to  -0.18; p  =  0.03) were also in favor of the Braun group. However, Braun group had no advantage over Non-Braun group in terms of intra-operative @entity190 , mortality, @entity3472 , bile Leakage and @entity6177 . CONCLUSION: The additional of @entity5157 plays an important role in reducing DGE, overall morbidity and LOS.
