Cochrane · systematic review · CD012998
Roux‐en‐Y versus Billroth‐I reconstruction after distal gastrectomy for gastric cancer
Nishizaki, D, Ganeko, R, Hoshino, N, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
GutAMSTAR 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 33.3%Low 3 · 50%Moderate 1 · 16.7%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
Roux‐en‐Y compared to Billroth‐I after distal gastrectomy for gastric cancer
Population: people undergoing distal gastrectomy for gastric cancer
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health‐related quality of life Roux‐en‐Y vs Billroth‐I after distal gastrectomy | no estimate extracted | 6 studies · 695 participants | Low Downgraded: risk of bias, imprecision |
Incidence of anastomotic leakage Roux‐en‐Y vs Billroth‐I after distal gastrectomy | RR 0.63 [0.16, 2.53] | 5 studies · 711 participants | Very low Downgraded: risk of bias, imprecision |
Loss of body weight Roux‐en‐Y vs Billroth‐I after distal gastrectomy | no estimate extracted | 4 studies · 541 participants | Low Downgraded: risk of bias, imprecision |
Incidence of bile reflux Roux‐en‐Y vs Billroth‐I after distal gastrectomy | RR 0.4 [0.25, 0.63] | 4 studies · 399 participants | Moderate Downgraded: risk of bias |
Length of hospital stay Roux‐en‐Y vs Billroth‐I after distal gastrectomy | no estimate extracted | 7 studies · 894 participants | Very low Downgraded: risk of bias, inconsistency |
Postoperative morbidity Roux‐en‐Y vs Billroth‐I after distal gastrectomy | RR 1.47 [1.02, 2.11] | 7 studies · 891 participants | Low Downgraded: risk of bias, inconsistency |