Surgical Techniques to Prevent Delayed Gastric Emptying After Esophagectomy With Gastric Interposition: A Systematic Review Ronald D.L. Akkerman, BS,

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Surgical Techniques to Prevent Delayed Gastric Emptying After Esophagectomy With Gastric Interposition: A Systematic Review Ronald D.L. Akkerman, BS, Leonie Haverkamp, MD, Richard van Hillegersberg, MD, PhD, Jelle P. Ruurda, MD, PhD The Annals of Thoracic Surgery Volume 98, Issue 4, Pages 1512-1519 (October 2014) DOI: 10.1016/j.athoracsur.2014.06.057 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Flowchart search. A total of 50 studies were included in this review. Some studies were allocated to multiple subgroups. After critical appraisal, 30 studies were selected for further analysis. (DGE = delayed gastric emptying; RCT = randomized controlled trial.) The Annals of Thoracic Surgery 2014 98, 1512-1519DOI: (10.1016/j.athoracsur.2014.06.057) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Gastric tube versus whole stomach. The application of a gastric tube is associated with a lower risk of developing delayed gastric emptying after esophagectomy compared to the whole stomach reconstruction (relative risk, 0.34; 95% confidence interval [CI], 0.12 to 0.97). The Annals of Thoracic Surgery 2014 98, 1512-1519DOI: (10.1016/j.athoracsur.2014.06.057) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Pyloric drainage versus no drainage. Pyloric drainage is not significantly associated with the risk of developing delayed gastric emptying after esophagectomy (relative risk, 0.91; 95% confidence interval [CI], 0.57 to 1.43). The number of events in the study of Palmes et al. were calculated using a percentage bar graph. The Annals of Thoracic Surgery 2014 98, 1512-1519DOI: (10.1016/j.athoracsur.2014.06.057) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions