Cochrane · systematic review · CD005477
Single layer versus double layer suture anastomosis of the gastrointestinal tract
Sajid, MS, Siddiqui, MRS, Baig, MK · Cochrane Database of Systematic Reviews · 2012 · Cochrane Library
ColorectalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 4 · 57.1%Moderate 1 · 14.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Single layer gastrointestinal anastomosis compared to Double layer gastrointestinal anastomosis for Bowel resection
Population: patients with Bowel resection
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Anastomotic leak Odds ratio Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis | OR 0.76 [0.44, 1.32] | 7 studies · 842 participants | Very low Downgraded: risk of bias |
Anastomosis time Mean difference Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis | no estimate extracted | 2 studies · 218 participants | Low Downgraded: risk of bias |
Length of hospital stay Mean difference Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis | no estimate extracted | 3 studies · 390 participants | Low |
Mortality Odds ratio Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis | OR 0.56 [0.19, 1.63] | 4 studies · 403 participants | Low |
Major complications Odds ratio Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis | OR 0.71 [0.44, 1.16] | 7 studies · 842 participants | Low |
Anastomotic leak in high quality trials Odds ratio Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis | OR 1.13 [0.42, 3.01] | 3 studies · 353 participants | Moderate |
Anastomotic leak in poor quality trials Odds ratio Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis | OR 0.63 [0.32, 1.24] | 4 studies · 489 participants | Very low |