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Background: The incidence of adenocarcinoma of the esophagogastric junction (AEG) has rapidly increased in recent years. Popular surgical approaches for AEG are proximal gastrectomy (PG) and total gastrectomy (TG), but it is controversial as to which approach is superior. Therefore, we conducted a systematic review and meta-analysis to evaluate the short- and long-term clinical outcomes of PG and TG for AEG. Methods: PubMed, Embase, Web of Science, and Cochrane Library were searched from inception to 1 June 2021. The Newcastle–Ottawa scale was used to conduct quality assessments, and RevMan (Version 5.4) was used to perform the meta-analysis. Results: In all, 1,734 patients with Siewert II/III AEG in 12 studies were included in the meta-analysis. PG was associated with less number of harvested lymph nodes (WMD = − 9.00, 95% CI − 12.61 to − 5.39, P < 0.00001), smaller tumor size (WMD = − 1.02, 95% CI − 1.71 to − 0.33, P = 0.004), shorter hospital length of stay (WMD = − 3.99, 95% CI − 7.27 to − 0.71, P = 0.02), and better long-term nutritional status compared with TG. Overall complications, other complications, and overall survival were not significantly different between the two groups. Moreover, subgroup analysis revealed that the occurrence of anastomotic strictures and reflux esophagitis was associated with the use of novel gastrointestinal tract (GI) anastomoses (double-tract reconstruction, jejunal interposition, and semi-embedded valve anastomosis) after PG. Conclusions: Based on the available evidence, we recommend that surgeons accept PG combined with multiple novel anastomoses as an optimal surgical approach in patients diagnosed with resectable Siewert type II/III AEG. [ABSTRACT FROM AUTHOR]

Abstract: One hundred and forty seasonal PM2.5 samples were collected from January 2010 to January 2011 at one urban site and one suburban site simultaneously in a Chinese megacity, Shanghai, to study the concentrations and seasonal variation of secondary organic aerosols (SOA). Concentrations of water-soluble organic carbon (WSOC) were determined together with organic and elemental carbons. Thirteen organic tracers, including the tracer for biomass burning and tracers for SOA from isoprene, α-pinene, β-caryophyllene and toluene, were measured. EC-based method, WSOC-based method, tracer-based method and PMF modeling were used to estimate the seasonal contributions of secondary organic carbon (SOC) in Shanghai, and the results from the different methods were compared and evaluated. Biomass burning was the major contributor to the measured WSOC in the autumn sampling period, while SOA was the major contributor in the other seasons. The concentrations of the SOA tracers in summer were obviously higher than that in other seasons. It was found that SOC estimated with the tracer-based method accounted for only a small part of the SOC from the WSOC-based method in Shanghai, especially for the winter and spring sampling periods. PMF results showed that a large part of the SOC was associated with sulfate and nitrate but not with the SOA tracers. [Copyright &y& Elsevier]