Braun enteroenterostomy reduces delayed gastric emptying: A systematic review and meta-analysis.
BACKGROUND
It remains controversial whether the additional Braun enteroenterostomy (BEE) is necessary in decreasing delayed gastric emptying (DGE) following pancreaticoduodenectomy (PD). This meta-analysis aims to assess the efficacy of the additional BEE 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 BEE with traditional gastrojejunostomy during PD were selected. The evaluated end points consist of intro-operative outcomes as well as postoperative complications.


RESULTS
Seven observational clinical studies that recruited 1401 patients 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 blood loss, mortality, pancreatic fistula, bile Leakage and intra-abdominal abscess.


CONCLUSION
The additional of BEE plays an important role in reducing DGE, overall morbidity and LOS.
['Huang|Ming-quan|MQ|', 'Li|Mou|M|', 'Mao|Jing-yu|JY|', 'Tian|Bo-le|BL|']
D018784:Abdominal Abscess D000714:Anastomosis, Surgical D016063:Blood Loss, Surgical D004766:Enterostomy D018589:Gastroparesis D006801:Humans D007902:Length of Stay D010185:Pancreatic Fistula D016577:Pancreaticoduodenectomy D016896:Treatment Outcome
Braun enteroenterostomy Delayed gastric emptying Meta-analysis Pancreaticoduodenectomy