The meta-analysis was performed to compare surgical and functional results of double-tract (DT) and Roux-en-Y (RY) reconstruction, applied in both partial and total gastrectomy.
PubMed, Ovid, Web of Science, Wiley, EBSCO, and the Cochrane Library Central were searched for studies comparing DT and RY after partial or total gastrectomy. Surgical, nutritional, and long-term outcomes were collected and analyzed.
A total of 595 patients from 8 studies were included. Operative time, time to first flatus, length of hospital stays, complications, postoperative nutritional variables, and functional result were similar between 2 groups. Group DT had significantly less blood loss, shorter time to oral intake and less loss of body weight at 2 years after operation.
DT reconstruction is comparable with RY after gastrectomy in safety, surgical outcomes including reflux symptom and postoperative recovery and shows better food intake and body weight maintenance.
*Department of General Surgery, Huashan Hospital
†Huashan Worldwide Medical Center, Huashan Hospital, Fudan University, Shanghai, China
J.H. and S.-Y.W. are contributed equally and co-first authors.
The author declares no conflicts of interest.
Reprints: Han-Kun Hao, MD, PhD, Department of General Surgery, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai 200040, China (e-mail: firstname.lastname@example.org).
Received August 9, 2018
Accepted December 31, 2018