Roux-en-Y versus Billroth-I reconstruction after distal gastrectomy for gastric cancer

CONCLUSIONS: The evidence suggests that there is little to no difference between Roux-en-Y and Billroth-I reconstruction for the outcome health-related quality of life. The evidence for the effect of Roux-en-Y versus Billroth-I reconstruction on the incidence of anastomotic leakage is very uncertain as the incidence of this outcome was low. Although the certainty of evidence was low, we found some possibly clinically meaningful differences between Roux-en-Y and Billroth-I reconstruction for short-term outcomes. Roux-en-Y reconstruction probably reduces the incidence of bile reflux into the remnant stomach compared to Billroth-I reconstruction. Billroth-I reconstruction may shorten postoperative hospital stay compared to Roux-en-Y reconstruction, but the evidence is very uncertain. Billroth-I reconstruction may reduce postoperative overall morbidity compared to Roux-en-Y reconstruction. Future trials should include long-term follow-up of health-related quality of life and body weight loss.PMID:34523717 | DOI:10.1002/14651858.CD012998.pub2

Source: Cochrane Database of Systematic Reviews - September 15, 2021 Category: General Medicine Authors: Daisuke Nishizaki Riki Ganeko Nobuaki Hoshino Koya Hida Kazutaka Obama Toshi A Furukawa Yoshiharu Sakai Norio Watanabe Source Type: research