This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Pouch versus no pouch following total gastrectomy: meta-analysis of randomized and non-randomized studies. Ann Surg 2019; 269: 1041-1053.

Published: 2nd September 2019

Authors: Syn N, Wee I, Shabbir A, Kim G, So JB-Y

Conclusion

The study included 17 RCTs and eight observational studies. The pouch procedure took a mean 23 min longer, but did not increase complications or duration of hospital stay. It did improve functional and nutritional outcomes for two years.

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