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| 1 | Roux-en-Y versus BillrothⅠreconstruction after distal gastrectomy for gastric cancer:A meta-analysis显示文摘AIM:To conduct a meta-analysis to compare Rouxen-Y(R-Y) gastrojejunostomy with gastroduodenal Billroth Ⅰ(B-Ⅰ) anastomosis after distal gastrectomy(DG) for gastric cancer.METHODS:A literature search was performed to identify studies comparing R-Y with B-Ⅰ after DG for gastric cancer from January 1990 to November 2012 in Medline,Embase,Science Citation Index Expanded and the Cochrane Central Register of Controlled Trials in The Cochrane Library.Pooled odds ratios(OR) or weighted mean differences(WMD) with 95%CI were calculated using either fixed or random effects model.Operative outcomes such as operation time,intraoperative blood loss and postoperative outcomes such as anastomotic leakage and stricture,bile reflux,remnant gastritis,reflux esophagitis,dumping symptoms,delayed gastric emptying and hospital stay were the main outcomes assessed.Meta-analyses were performed using RevMan 5.0 software(Cochrane library).RESULTS:Four randomized controlled trials(RCTs) and 9 non-randomized observational clinical studies(OCS) involving 478 and 1402 patients respectively were included.Meta-analysis of RCTs revealed that R-Y reconstruction was associated with a reduced bile reflux(OR 0.04,95%CI:0.01,0.14;P < 0.00 001) and remnant gastritis(OR 0.43,95%CI:0.28,0.66;P = 0.0001),however needing a longer operation time(WMD 40.02,95%CI:13.93,66.11;P = 0.003).Metaanalysis of OCS also revealed R-Y reconstruction had a lower incidence of bile reflux(OR 0.21,95%CI:0.08,0.54;P = 0.001),remnant gastritis(OR 0.18,95%CI:0.11,0.29;P < 0.00 001) and reflux esophagitis(OR 0.48,95%CI:0.26,0.89;P = 0.02).However,this reconstruction method was found to be associated with a longer operation time(WMD 31.30,95%CI:12.99,49.60;P = 0.0008).CONCLUSION:This systematic review point towards some clinical advantages that are rendered by R-Y compared to B-Ⅰ reconstruction post DG.However there is a need for further adequately powered,welldesigned RCTs comparing the same. | Jun-Jie Xiong Kiran Altaf Muhammad A Javed Quentin M Nunes Wei Huang Gang Mai Chun-Lu Tan Rajarshi Mukherjee Robert Sutton Wei-Ming Hu Xu-Bao Liu | 2013 | World Journal of Gastroenterology2013，19，7： | 33 |
| 2 | Potentialfor reduction of odorous compounds in seine manure through diet modification 显示文摘 | A L K B Kephart M W A Verstegen | 1998 | J Anim Sci (Submitted)1998，，： | 1 |
| 3 | Potential for reduction of odorous compounds in swine manure through diet modification显示文摘 | Sutton A L Kephart K B Verstegen M W A | 1999 | Journal of Animal Science1999，77，： | 1 |
| 4 | On the fracture of solids characterized by one or two parameters:theory and practice显示文摘 | Chao Y J Yang S Sutton M A | 1994 | Journal of the Mechanics of Physics and Solids1994，42，： | 1 |
| 5 | Advances in light microscope stereo vision显示文摘 | Schreier H W Garcia D Sutton M A | 2004 | Experimetal Mechanics2004，44，3： | 1 |
| 6 | Application of digital correlation methods to rigid body mechanics显示文摘 | PETERSW H RANSON W F SUTTON M A | 1983 | Optical Engineering1983，22，6： | 1 |
| 7 | Advances in light microscope stereo vision显示文摘 | Schreier H W Garcia D Sutton M A | 2004 | Experimental Mechanics2004，44，3： | 1 |
| 8 | Atmospheric ammonia : E- mission, deposition and environmental impacts - Introduction 显示文摘 | Sutton M A Lee D S Dollard G J | 1998 | Atmospheric Environment1998，32，： | 1 |
| 9 | Metrology in a scanning electron microscope: Theoretical developments and experimental validation显示文摘 | Sutton M A Li N Garcia D | 2006 | Measurement Science and Technology2006，17，10： | 1 |
| 10 | Microstructural studies of friction stir welds in 2024-T3 aluminum显示文摘 | B Yang A P Reynolds R Taylor | 2002 | Material Science and Egineering2002，323，1： | 1 |
| 11 | Digital image correlation using Newton-Raphson method of partial differential correction显示文摘 | Bruck H A McNeill S R Sutton M A | 1989 | Experimental Mechanics1989，29，3： | 1 |
| 12 | Fulbfield repersentation of discretely smapled surface deformational for displacement and strain analysis 显示文摘 | Sutton M A Turner J L Burck H A | 1991 | Experimental Meehnaies1991，31，2： | 1 |
| 13 | 查看详情显示文摘 | Haynam C A Wegner P J Auerbach J M Bowers M W Dixit S N Erbert G V Heestand G M Henesian M A Hermann M R Jancaitis K S Manes K R Marshall C D Mehta N C Menapace J Moses E Murray J R Nostrand M C Orth C D Patterson R SacksR A Shaw M J Spaeth M Sutton S B W | | 0，，： | 1 |
| 14 | Determination of elastic-plastic stresses and strains from measured surface strain data 显示文摘 | Sutton M A Deng X Liu J | 1996 | Experimental Mechanics1996，36，2： | 1 |
| 15 | The voice advisory manikin (VAM), An innovative approach to pediatric lay provider basic life support skill education显示文摘 | SUTTON R M DONOGHUE A MYKLEBUST H | 2007 | Resuscitation2007，75，1： | 1 |
| 16 | Digital image correlation using Newton-Rapshon method of partial differential eorrection显示文摘 | Bruck H A McnNeil S R Sutton M A | 1989 | Experimental Mechanics1989，29，3： | 1 |
| 17 | On the fracture of solids characterized by one or two parameters : theory and prac- tice 显示文摘 | Chao Y J Yang S Sutton M A | 1994 | Journal of the Mechanics of Physics of Solids1994，42，4： | 1 |
| 18 | Appraising qualitative researchfor inclusion in systematic reviews:a quantitative and qualitative compari-son c￡three methods显示文摘 | Dixon-Woods M Sutton A Shaw R | 2007 | J Health Serv Res Policy2007，12，1： | 1 |
| 19 | The effect of out-of-plane motion on 2D and 3D digital image correlation measurements显示文摘 | Sutton M A Yan J H Tiwari V | 2009 | Optics and Lasers in Engineering2009，46，10： | 1 |
| 20 | Applica- tions of Digital-image-correlation Techniques to Ex- perimental Mechanics 显示文摘 | CHU T C RANSON W F SUTTON M A | 1985 | Experimental Mechanics1985，25，3： | 1 |
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