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. 2019 Nov 17;8(11):2005. doi: 10.3390/jcm8112005

Table 1.

Summary of included studies evaluating biomarkers for detecting anastomotic leakage in gastroesophageal anastomosis.

Reference Resection Study Design b Study Period MI Approach (%) Patients (n) AL (n) N CRT (n) Marker Type Biomarkers
Asti et al. [32] Esophageal Retrospective 2012–2017 100 243 29 96 Serum CRP, PCT, leucocytes and PN
Baker et al. [33] Esophageal Retrospective 2009–2014 93 100 13 68 Serum and drain Amylase and leucocytes
Berkelmans et al. [47] Esophageal Retrospective 2013–2014 100 89 15 84 Drain Amylase
Dutta et al. [34] Esophagogastric Retrospective 2005–2009 NR 136 17 80 Serum CRP
Edagawa et al. [44] Esophageal Retrospective 2007–2009 66 204 44 NR Serum CRP, FIB
Ellebaek et al. [53] Esophagogastric Prospective 2006–2010 0 54 7 29 Mediastinal microdialysis Lactate, pyruvate, glucose, glycerol a and pyrovate
Findlay et al. [35] Esophagogastric Retrospective 2008–2013 0 248 21 189 Serum and drain CRP a, leucocytes, albumin a and NUn score
Gao et al. [45] Esophageal Retrospective 2016–2017 100 96 12 38 Serum and drain Amylase and prealbumin
Giulini et al. [46] Esophageal Retrospective 2015–2017 64 80 6 40 Serum and drain Amylase and CRP
Gordon et al. [36] Esophagogastric Retrospective 2004–2014 0 145 13 NR Serum CRP
Hoeboer et al. [37] Esophageal Prospective 2011–2012 10 45 10 40 Serum CRP, PCT and leucocytes a
Ip et al. [38] Esophageal Retrospective 2012–2014 7 136 18 70 Serum Lactate
Ji et al. [39] Esophagogastric Retrospective 2014 0 97 10 NR Serum CRP
Li et al. [40] Esophageal Retrospective 2013–2016 8 71 47 5 Serum and respiratory CRP a, PCT, leucocytes a, albumin, Hb a, PLT a, BG, pO2 a and fiO2 a
Machens et al. [48] Esophageal Retrospective 1992–1994 0 26 14 NR Drain amylase and ph a
Miller et al. [55] Esophageal Retospective 2015–2016 100 45 3 27 Drain Amylase
Noble et al. [41] Esophageal Retrospective 2005–2011 NR 258 26 156 Serum and score CRP, leucocytes, albumin and NUn score
Paireder et al. [52] Esophageal Retrospective 2003–2014 28 258 32 177 Score NUn score
Park et al. [42] Esophageal Retrospective 2009–2016 56 201 23 45 Serum CRP and leucocytes a
Perry et al. [49] Esophageal Retrospective 2007–2014 58 146 35 NR Drain Amylase
Plat et al. [54] Esophageal Prospective 2015–2016 NR 31 9 29 Urine VOC
Schots et al. [50] Gastric Retrospective 2013–2017 70 107 8 71 Drain Amylase and CRP a
Song et al. [43] Esophageal Retrospective 2015–2016 67 183 16 50 Plasma TNF-α, IL-2R, IL-6, IL-8 and IL-10
Yu et al. [51] Esophageal Retrospective 2014–2017 NR 99 10 17 Drain Amylase

a Statistical significance for detection AL not proven; b All studies include surgical resection for cancer and were mainly elective. AL, anastomotic leakage; NR, not reported, nCRT, neo-adjuvant chemoradiation therapy; MI, minimally invasive; CRP, C-reactive protein; PCT, procalcitonin; PN, per cent neutrophils; NUn score, 11.3894 + 0.005 (CRP) + 0186 (WCC) − 0.174 (Albumin); Hb, haemoglobin; PLT, platelet; BG, blood antigenemia; IL, interleukin.