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- W3030179501 abstract "ObjectiveTo study the effectiveness and safety comparing Roux-en-Y versus Billroth Ⅱ alimentary canal reconstruction after pancreaticoduodenectomy (PD).MethodsA computer search was conducted on PubMed, Embase, Web of Science, Science Direct, Springer Link, Cochrane Center, CBM, CNKI, Wan Fang and VIP databases before September 2017 for all RCT and CCT articles on Roux-en-Y versus Billroth Ⅱ reconstruction after PD. The quality of the included trials was studied by assessing the inclusive and exclusive criteria (the PRISMA statement) by 2 researchers independently. The data were extracted and analyzed using the RevMan5.3 software.Results9 articles (3 RCTs, 6 CCTs) which involved 1 599 patients (563 Roux-en-Y patients, 1 036 Billroth Ⅱ patients) were studied. Meta analysis revealed that Billroth Ⅱ patients had a lower postoperative delayed gastric emptying (DGE, grades B, C) rate (OR=3.76, 95%CI: 1.32~10.68, P 0.05).ConclusionsThe incidence of DGE (grades B, C) after PD was lower after Billroth Ⅱ than that of Roux-en-Y reconstruction. Large prospective randomized controlled trials are needed to confirm the findings of this meta-analysis.Key words: Pancreaticoduodenectomy (PD); Roux-en-Y reconstruction; Billroth Ⅱ reconstruction; Complications; Meta-analysis" @default.
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- W3030179501 date "2018-07-28" @default.
- W3030179501 modified "2023-09-23" @default.
- W3030179501 title "Roux-en-Y versus Billroth II alimentary canal reconstruction after pancreaticoduodenectomy: a meta-analysis" @default.
- W3030179501 doi "https://doi.org/10.3760/cma.j.issn.1007-8118.2018.07.011" @default.
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