{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T20:10:04Z","timestamp":1748290204519,"version":"3.41.0"},"reference-count":45,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["americanjournalofsurgery.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Surgery"],"published-print":{"date-parts":[[2025,7]]},"DOI":"10.1016\/j.amjsurg.2025.116355","type":"journal-article","created":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T06:22:46Z","timestamp":1745043766000},"page":"116355","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Comparative balanced salt solution and 6 \u200b% hydroxyethyl starch in goal-directed therapy for major abdominal surgery: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"245","author":[{"given":"Rui","family":"Lu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srisuluk","family":"Kacha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natsuda","family":"Phothikun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atirut","family":"Supphapipat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaweesak","family":"Chittawatanarat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.amjsurg.2025.116355_bib1","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1093\/bja\/aef220","article-title":"Pathophysiology and clinical implications of perioperative fluid excess","volume":"89","author":"Holte","year":"2002","journal-title":"Br J Anaesth"},{"issue":"2","key":"10.1016\/j.amjsurg.2025.116355_bib2","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.bpa.2019.05.005","article-title":"Perioperative goal-directed therapy \u2013 what is the evidence?","volume":"33","author":"Kaufmann","year":"2019","journal-title":"Best Pract Res Clin Anaesthesiol"},{"key":"10.1016\/j.amjsurg.2025.116355_bib3","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1007\/s00540-016-2261-7","article-title":"Goal directed fluid therapy decreases postoperative morbidity but not mortality in major non-cardiac surgery: a meta-analysis and trial sequential analysis of randomized controlled trials","volume":"31","author":"Som","year":"2017","journal-title":"J Anesth"},{"issue":"1","key":"10.1016\/j.amjsurg.2025.116355_bib4","article-title":"Association between perioperative fluid administration and postoperative outcomes: a 20-year systematic review and a meta-analysis of randomized goal-directed trials in major visceral\/noncardiac surgery","volume":"25","author":"Messina","year":"2021","journal-title":"Crit Care"},{"issue":"2","key":"10.1016\/j.amjsurg.2025.116355_bib5","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.bja.2017.11.088","article-title":"Normal saline versus a balanced crystalloid for goal-directed perioperative fluid therapy in major abdominal surgery: a double-blind randomised controlled study","volume":"120","author":"Pfortmueller","year":"2018","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.amjsurg.2025.116355_bib6","doi-asserted-by":"crossref","first-page":"681","DOI":"10.2165\/00003088-200544070-00002","article-title":"Pharmacokinetics of hydroxyethyl starch","volume":"44","author":"Jungheinrich","year":"2005","journal-title":"Clin Pharmacokinet"},{"issue":"13","key":"10.1016\/j.amjsurg.2025.116355_bib7","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1056\/NEJMra1208627","article-title":"Resuscitation fluids","volume":"369","author":"Myburgh","year":"2013","journal-title":"N Engl J Med"},{"issue":"20","key":"10.1016\/j.amjsurg.2025.116355_bib8","doi-asserted-by":"crossref","first-page":"1901","DOI":"10.1056\/NEJMoa1209759","article-title":"Hydroxyethyl starch or saline for fluid resuscitation in intensive care","volume":"367","author":"Myburgh","year":"2012","journal-title":"N Engl J Med"},{"issue":"2","key":"10.1016\/j.amjsurg.2025.116355_bib9","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1056\/NEJMoa070716","article-title":"Intensive insulin therapy and pentastarch resuscitation in severe sepsis","volume":"358","author":"Brunkhorst","year":"2008","journal-title":"N Engl J Med"},{"issue":"1","key":"10.1016\/j.amjsurg.2025.116355_bib10","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s13741-021-00182-8","article-title":"Hydroxyethyl starch 130\/0.4 for volume replacement therapy in surgical patients: a systematic review and meta-analysis of randomized controlled trials","volume":"10","author":"Xu","year":"2021","journal-title":"Perioper Med"},{"issue":"1","key":"10.1016\/j.amjsurg.2025.116355_bib11","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1093\/bja\/aet303","article-title":"Incidence of postoperative death and acute kidney injury associated with iv 6% hydroxyethyl starch use: systematic review and meta-analysis","volume":"112","author":"Gillies","year":"2014","journal-title":"Br J Anaesth"},{"issue":"10","key":"10.1016\/j.amjsurg.2025.116355_bib12","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.6061\/clinics\/2012(10)06","article-title":"Intraoperative fluid management in open gastrointestinal surgery: goal-directed versus restrictive","volume":"67","author":"Zhang","year":"2012","journal-title":"Clinics"},{"issue":"2","key":"10.1016\/j.amjsurg.2025.116355_bib13","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1093\/bja\/aes377","article-title":"Balanced crystalloid compared with balanced colloid solution using a goal-directed haemodynamic algorithm","volume":"110","author":"Feldheiser","year":"2013","journal-title":"Br J Anaesth"},{"issue":"10","key":"10.1016\/j.amjsurg.2025.116355_bib14","first-page":"653","article-title":"Individual goal-directed intraoperative fluid management of initially hypovolemic patients for elective major urological surgery","volume":"115","author":"Szturz","year":"2014","journal-title":"Bratisl Lek Listy"},{"issue":"2","key":"10.1016\/j.amjsurg.2025.116355_bib15","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1093\/bja\/aet307","article-title":"Crystalloid or colloid for goal-directed fluid therapy in colorectal surgery","volume":"112","author":"Yates","year":"2014","journal-title":"Br J Anaesth"},{"issue":"5","key":"10.1016\/j.amjsurg.2025.116355_bib16","first-page":"1369","article-title":"The impact of different infusion solutions on postoperative recovery following colorectal surgery","volume":"23","author":"Cvetkovic","year":"2018","journal-title":"J buon"},{"issue":"1","key":"10.1016\/j.amjsurg.2025.116355_bib17","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1097\/ALN.0000000000001936","article-title":"Crystalloid versus colloid for intraoperative goal-directed fluid therapy using a closed-loop system: a randomized, double-blinded, controlled trial in major abdominal surgery","volume":"128","author":"Joosten","year":"2018","journal-title":"Anesthesiology"},{"issue":"17","key":"10.1016\/j.amjsurg.2025.116355_bib18","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000010579","article-title":"Balanced 10% hydroxyethyl starch compared with balanced 6% hydroxyethyl starch and balanced crystalloid using a goal-directed hemodynamic algorithm in pancreatic surgery: a randomized clinical trial","volume":"97","author":"Werner","year":"2018","journal-title":"Medicine (Baltim)"},{"issue":"5","key":"10.1016\/j.amjsurg.2025.116355_bib19","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1097\/ALN.0000000000002601","article-title":"Effect of intraoperative goal-directed balanced crystalloid versus colloid administration on major postoperative morbidity: a randomized trial","volume":"130","author":"Kabon","year":"2019","journal-title":"Anesthesiology"},{"key":"10.1016\/j.amjsurg.2025.116355_bib20","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.b2700","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration","volume":"339","author":"Liberati","year":"2009","journal-title":"Bmj"},{"issue":"6","key":"10.1016\/j.amjsurg.2025.116355_bib21","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/j.bja.2019.08.027","article-title":"Effect of goal-directed crystalloid- versus colloid-based fluid strategy on tissue oxygen tension: a randomised controlled trial","volume":"123","author":"Reiterer","year":"2019","journal-title":"Br J Anaesth"},{"issue":"1","key":"10.1016\/j.amjsurg.2025.116355_bib22","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s12871-020-01126-3","article-title":"The effect of intraoperative goal-directed crystalloid versus colloid administration on perioperative inflammatory markers - a substudy of a randomized controlled trial","volume":"20","author":"Obradovic","year":"2020","journal-title":"BMC Anesthesiol"},{"issue":"8","key":"10.1016\/j.amjsurg.2025.116355_bib23","doi-asserted-by":"crossref","DOI":"10.3390\/jcm10081651","article-title":"Effect of goal-directed crystalloid versus colloid administration on perioperative hemostasis in partial hepatectomy: a randomized, controlled trial","volume":"10","author":"Gratz","year":"2021","journal-title":"J Clin Med"},{"issue":"1","key":"10.1016\/j.amjsurg.2025.116355_bib24","doi-asserted-by":"crossref","DOI":"10.1186\/s13741-024-00381-z","article-title":"The effect of goal-directed crystalloid versus colloid administration on postoperative spirometry parameters: a substudy of a randomized controlled clinical trial","volume":"13","author":"Obradovic","year":"2024","journal-title":"Perioper Med"},{"key":"10.1016\/j.amjsurg.2025.116355_bib25","article-title":"RoB 2: a revised tool for assessing risk of bias in randomised trials","volume":"366","author":"Sterne","year":"2019","journal-title":"bmj"},{"issue":"6","key":"10.1016\/j.amjsurg.2025.116355_bib26","doi-asserted-by":"crossref","first-page":"1785","DOI":"10.1177\/0962280216669183","article-title":"Optimally estimating the sample mean from the sample size, median, mid-range, and\/or mid-quartile range","volume":"27","author":"Luo","year":"2018","journal-title":"Stat Methods Med Res"},{"key":"10.1016\/j.amjsurg.2025.116355_bib27","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2288-14-135","article-title":"Estimating the sample mean and standard deviation from the sample size, median, range and\/or interquartile range","volume":"14","author":"Wan","year":"2014","journal-title":"BMC Med Res Methodol"},{"issue":"1","key":"10.1016\/j.amjsurg.2025.116355_bib28","doi-asserted-by":"crossref","first-page":"101","DOI":"10.2307\/3001666","article-title":"The combination of estimates from different experiments","volume":"10","author":"Cochran","year":"1954","journal-title":"Biometrics"},{"issue":"7414","key":"10.1016\/j.amjsurg.2025.116355_bib29","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1136\/bmj.327.7414.557","article-title":"Measuring inconsistency in meta-analyses","volume":"327","author":"Julian","year":"2003","journal-title":"BMJ"},{"key":"10.1016\/j.amjsurg.2025.116355_bib30","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.h1435","article-title":"Meta-analyses: what is heterogeneity?","volume":"350","author":"Sedgwick","year":"2015","journal-title":"BMJ"},{"issue":"4","key":"10.1016\/j.amjsurg.2025.116355_bib31","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.jclinepi.2010.04.026","article-title":"GRADE guidelines: 1. Introduction\u2014GRADE evidence profiles and summary of findings tables","volume":"64","author":"Guyatt","year":"2011","journal-title":"J Clin Epidemiol"},{"issue":"10","key":"10.1016\/j.amjsurg.2025.116355_bib32","doi-asserted-by":"crossref","first-page":"1212","DOI":"10.1111\/aas.12601","article-title":"Enhanced Recovery after Surgery (ERAS) for gastrointestinal surgery, part 1: pathophysiological considerations","volume":"59","author":"Scott","year":"2015","journal-title":"Acta Anaesthesiol Scand"},{"issue":"6","key":"10.1016\/j.amjsurg.2025.116355_bib33","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1016\/j.bja.2020.08.060","article-title":"Impact of intraoperative goal-directed fluid therapy on major morbidity and mortality after transthoracic oesophagectomy: a multicentre, randomised controlled trial","volume":"125","author":"Mukai","year":"2020","journal-title":"Br J Anaesth"},{"issue":"4","key":"10.1016\/j.amjsurg.2025.116355_bib34","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/j.bja.2021.06.031","article-title":"Goal-directed fluid therapy in emergency abdominal surgery: a randomised multicentre trial","volume":"127","author":"Aaen","year":"2021","journal-title":"Br J Anaesth"},{"issue":"1","key":"10.1016\/j.amjsurg.2025.116355_bib35","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1002\/bjs.9943","article-title":"Meta-analysis of colloids versus crystalloids in critically ill, trauma and surgical patients","volume":"103","author":"Qureshi","year":"2016","journal-title":"J. Br. Surg."},{"issue":"6","key":"10.1016\/j.amjsurg.2025.116355_bib36","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1007\/s00540-020-02832-5","article-title":"Comparison of colloid and crystalloid using goal-directed fluid therapy protocol in non-cardiac surgery: a meta-analysis of randomized controlled trials","volume":"34","author":"Tyagi","year":"2020","journal-title":"J Anesth"},{"issue":"9","key":"10.1016\/j.amjsurg.2025.116355_bib37","doi-asserted-by":"crossref","first-page":"2231","DOI":"10.1681\/ASN.2014070724","article-title":"Classifying AKI by urine output versus serum creatinine level","volume":"26","author":"Kellum","year":"2015","journal-title":"J Am Soc Nephrol"},{"issue":"1","key":"10.1016\/j.amjsurg.2025.116355_bib38","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1213\/ANE.0000000000001027","article-title":"Targeting oliguria reversal in goal-directed hemodynamic management does not reduce renal dysfunction in perioperative and critically ill patients: a systematic review and meta-analysis","volume":"122","author":"Egal","year":"2016","journal-title":"Anesth Analg"},{"key":"10.1016\/j.amjsurg.2025.116355_bib39","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s00134-006-0454-5","article-title":"Plasma volume expansion of 5% albumin, 4% gelatin, 6% HES 130\/0.4, and normal saline under increased microvascular permeability in the rat","volume":"33","author":"Dubniks","year":"2007","journal-title":"Intensive Care Med"},{"key":"10.1016\/j.amjsurg.2025.116355_bib40","doi-asserted-by":"crossref","first-page":"2126","DOI":"10.1007\/s00134-013-3111-9","article-title":"Bleeding and risk of death with hydroxyethyl starch in severe sepsis: post hoc analyses of a randomized clinical trial","volume":"39","author":"Haase","year":"2013","journal-title":"Intensive Care Med"},{"issue":"31","key":"10.1016\/j.amjsurg.2025.116355_bib41","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000004498","article-title":"Effect of perioperative crystalloid or colloid fluid therapy on hemorrhage, coagulation competence, and outcome: a systematic review and stratified meta-analysis","volume":"95","author":"Rasmussen","year":"2016","journal-title":"Medicine"},{"issue":"4","key":"10.1016\/j.amjsurg.2025.116355_bib42","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1378\/chest.124.4.1437","article-title":"Hetastarch and bleeding complications after coronary artery surgery","volume":"124","author":"Avorn","year":"2003","journal-title":"Chest"},{"key":"10.1016\/j.amjsurg.2025.116355_bib43","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinane.2019.109695","article-title":"The impact of crystalloid versus colloid fluids on postoperative nausea and vomiting: a systematic review and meta-analysis of randomized controlled trials","volume":"62","author":"Lee","year":"2020","journal-title":"J Clin Anesth"},{"issue":"2","key":"10.1016\/j.amjsurg.2025.116355_bib44","doi-asserted-by":"crossref","DOI":"10.1186\/cc7761","article-title":"Crystalloids versus colloids for goal-directed fluid therapy in major surgery","volume":"13","author":"Hiltebrand","year":"2009","journal-title":"Crit Care"},{"issue":"1","key":"10.1016\/j.amjsurg.2025.116355_bib45","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1186\/s13054-017-1846-3","article-title":"6% Hydroxyethyl starch (HES 130\/0.4) diminishes glycocalyx degradation and decreases vascular permeability during systemic and pulmonary inflammation in mice","volume":"22","author":"Margraf","year":"2018","journal-title":"Crit Care"}],"container-title":["The American Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961025001771?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961025001771?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T19:52:53Z","timestamp":1748289173000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002961025001771"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":45,"alternative-id":["S0002961025001771"],"URL":"https:\/\/doi.org\/10.1016\/j.amjsurg.2025.116355","relation":{},"ISSN":["0002-9610"],"issn-type":[{"type":"print","value":"0002-9610"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Comparative balanced salt solution and 6 \u200b% hydroxyethyl starch in goal-directed therapy for major abdominal surgery: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjsurg.2025.116355","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"116355"}}