Cochrane · systematic review · CD015014
Uncut Roux‐en‐Y reconstruction after distal gastrectomy for gastric cancer
Cai, Z, Mu, M, Ma, Q, et al. · Cochrane Database of Systematic Reviews · 2024 · 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
14
current version
GRADE rated
10
No studies
4
Included studies
NR
No studies 4 · 28.6%Ungraded 0 · 0%Very low 8 · 57.1%Low 2 · 14.3%Moderate 0 · 0%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
Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction compared to Billroth II reconstruction after distal gastrectomy for gastric cancer
Population: people undergoing distal gastrectomy for gastric cancer
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health‐related quality of life ‐ not reported Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Billroth II reconstruction after distal gastrectomy | no estimate extracted | NR | No studies |
Major postoperative complications Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Billroth II reconstruction after distal gastrectomy | RR 0.98 [0.24, 4.05] | 2 studies · 282 participants | Very low Downgraded: imprecision, indirectness |
Incidence of anastomotic leakage Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Billroth II reconstruction after distal gastrectomy | RR 0.64 [0.29, 1.44] | 3 studies · 615 participants | Very low Downgraded: imprecision, indirectness |
Changes in body weight from baseline Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Billroth II reconstruction after distal gastrectomy | no estimate extracted | 2 studies · 233 participants | Low Downgraded: imprecision, indirectness |
Incidence of bile reflux Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Billroth II reconstruction after distal gastrectomy | RR 0.67 [0.55, 0.83] | 1 study · 141 participants | Low Downgraded: imprecision, indirectness |
Incidence of remnant gastritis Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Billroth II reconstruction after distal gastrectomy | RR 0.27 [0.01, 5.06] | 2 studies · 265 participants | Very low Downgraded: imprecision, indirectness |
Incidence of oesophagitis ‐ not reported Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Billroth II reconstruction after distal gastrectomy | no estimate extracted | NR | No studies |
Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction compared to Roux‐en‐Y reconstruction after distal gastrectomy for gastric cancer
Population: people undergoing distal gastrectomy for gastric cancer
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health‐related quality of life ‐ not reported Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Roux‐en‐Y reconstruction after distal gastrectomy | no estimate extracted | NR | No studies |
Major postoperative complications Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Roux‐en‐Y reconstruction after distal gastrectomy | RR 4.74 [0.23, 97.08] | 2 studies · 256 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Incidence of anastomotic leakage Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Roux‐en‐Y reconstruction after distal gastrectomy | RR 0.34 [0.05, 2.08] | 2 studies · 213 participants | Very low Downgraded: imprecision, indirectness |
Changes in body weight from baseline ‐ not reported Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Roux‐en‐Y reconstruction after distal gastrectomy | no estimate extracted | NR | No studies |
Incidence of bile reflux Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Roux‐en‐Y reconstruction after distal gastrectomy | RR 10.74 [3.52, 32.76] | 1 study · 108 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Incidence of remnant gastritis Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Roux‐en‐Y reconstruction after distal gastrectomy | RR 1.18 [0.69, 2.01] | 3 studies · 361 participants | Very low Downgraded: imprecision, indirectness |
Incidence of oesophagitis Summary of findings table ‐ Uncut Roux‐en‐Y reconstruction vs Roux‐en‐Y reconstruction after distal gastrectomy | RR 0.82 [0.53, 1.26] | 3 studies · 361 participants | Very low Downgraded: imprecision, indirectness |