Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 28, 2018; 24(24): 2628-2639
Published online Jun 28, 2018. doi: 10.3748/wjg.v24.i24.2628
Comparison between uncut Roux-en-Y and Roux-en-Y reconstruction after distal gastrectomy for gastric cancer: A meta-analysis
Ming-Ming Sun, Yi-Yi Fan, Sheng-Chun Dang
Ming-Ming Sun, Yi-Yi Fan, Sheng-Chun Dang, Department of General Surgery, The Affiliated Hospital of Jiangsu University, Zhenjiang 212001, Jiangsu Province, China
Author contributions: Sun MM and Fan YY reviewed and screened the articles included in our meta-analysis; Sun MM and Dang SC performed the analysis and drafted the manuscript; Fan YY and Dang SC drew the essential diagrams; Sun MM and Dang SC designed the study and edited the manuscript.
Supported by Jiangsu Province Fund Projects for “Six Talent Peaks” High-Level Talent, No. 2016-WSN-007.
Conflict-of-interest statement: The authors deny any conflict of interest.
Data sharing statement: No additional data is available.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Sheng-Chun Dang, MD, Professor, Chief Doctor, Surgeon, Department of General Surgery, the Affiliated Hospital of Jiangsu University, No. 438 Jiefang Road, Zhenjiang 212001, Jiangsu Province, China.
Telephone: +86-511-88820988 Fax: +86-511-88820988
Received: March 13, 2018
Peer-review started: March 13, 2018
First decision: March 30, 2018
Revised: April 5, 2018
Accepted: June 2, 2018
Article in press: June 2, 2018
Published online: June 28, 2018
Core Tip

Core tip: No consensus was available in the literature about gastrointestinal reconstruction after distal gastrectomy (DG) for distal gastric cancer. The present study was a novel systematic review and meta-analysis comparing uncut Roux-en-Y (U-RY) and Roux-en-Y (RY) reconstruction after DG for gastric cancer. This study investigated the relationship between the two in terms of perioperative outcomes, postoperative complications, and postoperative nutritional status. U-RY reconstruction was found to have some advantages, such as less operative time, less postoperative complications, and better postoperative nutritional status, over the conventional RY.