Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

26 questions · 26 findings · 2 reviews

No studies found 5 · 19.2%GRADE not reported 0 · 0%Very low 13 · 50%Low 6 · 23.1%Moderate 2 · 7.7%High 0 · 0%

Pancreaticojejunostomy vs pancreatogastrostomy after pancreatoduodectomy

Postoperative pancreatic fistula (Grade A, B or C) · adults undergoing pancreatoduodenectomy (mainly for pancreatic cancer)

Pancreaticojejunostomy showed no clear difference in postoperative pancreatic fistula (Grade A, B or C) compared with pancreatogastrostomy after pancreatoduodectomy (low certainty).

1 finding from 1 review

Pancreaticojejunostomy vs pancreatogastrostomy after pancreatoduodectomy

Postoperative pancreatic fistula (grade B or C) · adults undergoing pancreatoduodenectomy (mainly for pancreatic cancer)

It is very uncertain whether pancreaticojejunostomy changes clinically significant pancreatic fistula (Grade B or C) compared with pancreatogastrostomy after pancreatoduodectomy (very low certainty).

1 finding from 1 review

Pancreaticojejunostomy vs pancreatogastrostomy after pancreatoduodectomy

Postoperative mortality · adults undergoing pancreatoduodenectomy (mainly for pancreatic cancer)

Pancreaticojejunostomy showed no clear difference in postoperative mortality compared with pancreatogastrostomy after pancreatoduodectomy (moderate certainty).

1 finding from 1 review

Pancreaticojejunostomy vs pancreatogastrostomy after pancreatoduodectomy

Length of hospital stay · adults undergoing pancreatoduodenectomy (mainly for pancreatic cancer)

Pancreaticojejunostomy showed no clear difference in length of hospital stay compared with pancreatogastrostomy after pancreatoduodectomy (low certainty).

1 finding from 1 review

Pancreaticojejunostomy vs pancreatogastrostomy after pancreatoduodectomy

Rate of surgical re‐intervention: TEG or ROTEM vs control · adults undergoing pancreatoduodenectomy (mainly for pancreatic cancer)

Pancreaticojejunostomy showed no clear difference in surgical re‐intervention compared with pancreatogastrostomy after pancreatoduodectomy (low certainty).

1 finding from 1 review

Pancreaticojejunostomy vs pancreatogastrostomy after pancreatoduodectomy

Overall rate of surgical complications · adults undergoing pancreatoduodenectomy (mainly for pancreatic cancer)

Pancreaticojejunostomy showed no clear difference in surgical complications compared with pancreatogastrostomy after pancreatoduodectomy (moderate certainty).

1 finding from 1 review

Pancreaticojejunostomy vs pancreatogastrostomy after pancreatoduodectomy

Postoperative bleeding · adults undergoing pancreatoduodenectomy (mainly for pancreatic cancer)

Pancreaticojejunostomy may leads to lower postoperative bleeding compared with pancreatogastrostomy after pancreatoduodectomy (low certainty).

1 finding from 1 review

Pancreaticojejunostomy vs pancreatogastrostomy after pancreatoduodectomy

Intra‐abdominal abscess · adults undergoing pancreatoduodenectomy (mainly for pancreatic cancer)

Pancreaticojejunostomy may leads to higher intra‐abdominal abscess compared with pancreatogastrostomy after pancreatoduodectomy (low certainty).

1 finding from 1 review

Duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart technique vs duct‐to‐mucosa pancreaticojejunostomy using the traditional interrupted technique

Adverse events · adults undergoing open pancreaticoduodenectomy

The review found no eligible studies for this question.

1 finding from 1 review

Duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart technique vs duct‐to‐mucosa pancreaticojejunostomy using the traditional interrupted technique

Rate of surgical reintervention · adults undergoing open pancreaticoduodenectomy

It is very uncertain whether duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart… changes rate of surgical reintervention compared with duct‐to‐mucosa pancreaticojejunostomy using the traditional… (very low certainty).

1 finding from 1 review

Duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart technique vs duct‐to‐mucosa pancreaticojejunostomy using the traditional interrupted technique

Rate of postoperative bleeding · adults undergoing open pancreaticoduodenectomy

It is very uncertain whether duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart… changes rate of postoperative bleeding compared with duct‐to‐mucosa pancreaticojejunostomy using the traditional… (very low certainty).

1 finding from 1 review

Duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart technique vs duct‐to‐mucosa pancreaticojejunostomy using the traditional interrupted technique

Overall rate of surgical complications · adults undergoing open pancreaticoduodenectomy

It is very uncertain whether duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart… changes overall rate of surgical complications compared with duct‐to‐mucosa pancreaticojejunostomy using the traditional… (very low certainty).

1 finding from 1 review

Duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart technique vs duct‐to‐mucosa pancreaticojejunostomy using the traditional interrupted technique

Quality of life · adults undergoing open pancreaticoduodenectomy

The review found no eligible studies for this question.

1 finding from 1 review

Duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart technique vs duct‐to‐mucosa pancreaticojejunostomy using the traditional interrupted technique

Rate of POPF (grade B or C defined according to the 2016 ISGPS definition) · adults undergoing open pancreaticoduodenectomy
1 finding from 1 review

Duct‐to‐mucosa vs invagination pancreaticojejunostomy

Rate of POPF (grade B or C defined according to the 2005 ISGPF definition) · adults undergoing open pancreaticoduodenectomy

It is very uncertain whether duct‐to‐mucosa changes rate of POPF (grade B or C defined according to the 2005 ISGPF… compared with invagination pancreaticojejunostomy (very low certainty).

1 finding from 1 review

Duct‐to‐mucosa vs invagination pancreaticojejunostomy

Postoperative mortality · adults undergoing open pancreaticoduodenectomy

It is very uncertain whether duct‐to‐mucosa changes postoperative mortality compared with invagination pancreaticojejunostomy (very low certainty).

1 finding from 1 review