A review on double tract reconstruction after proximal gastrectomy for proximal gastric cancer

Lewis, Tricia S.; Dong, Feng

doi:10.1016/j.amsu.2022.103879

Cited by 5 publications

(1 citation statement)

References 40 publications

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“…As the survival rate of gastric cancer gradually improves, more and more surgeons are focusing on the quality of life of postoperative patients. Proximal gastrectomy (PG) preserves the physiological and storage functions of the stomach and has advantages in maintaining postoperative nutritional status and body weight [ 4 , 5 ]. Currently, the main types of digestive tract reconstruction are double-tract reconstruction (DTR), jejunal implantation, jejunal pouch implantation, double-flap anastomosis (DFT), and fundoplication.…”

Section: Introductionmentioning

confidence: 99%

Comparison of proximal gastrectomy with double-flap technique and double-tract reconstruction for proximal early gastric cancer: a meta-analysis

Huang,

Wang,

Chen

et al. 2023

Updates Surg

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Surgical resection is the main treatment for proximal gastric cancer, but there is no consensus on its reconstruction. We carried out a meta-analysis to evaluate the effects of double-tract reconstruction (DTR) and double-flap technique (DFT) on postoperative quality of life in patients with proximal gastric cancer. Systematic searches of PubMed, Web of Science, EBSCO, and the Cochrane Library were performed. Literature for the last 5 years was searched without language restrictions. The cutoff date for the search was 12 April 2023. Literature and research searches were conducted independently by two researchers and data were extracted. Statistical analyses were performed using Review Manager (Revman) 5.4 software. Fixed models were used when heterogeneity was small and random-effects models were used for meta-analysis when heterogeneity was large. The study was registered with PROSPERO, CRD 42023418520. Surgical time was significantly shorter in the DTR group than in the DFT group (P = 0.03). There were no significant differences between DFT and DTR in terms of age, gender, pathological stage, preoperative body mass index, surgical bleeding, and perioperative complications. There was no statistically significant difference between the two groups in terms of reflux esophagitis and PPI intake, but DFT was superior to DTR in weight improvement at 1 year after surgery (P < 0.0001). Compared with DTR, DFT reconstruction is more demanding and time-consuming, but its postoperative nutritional status is better, so it should be the first choice for GI reconstruction in most patients with early proximal gastric cancer. However, DTR should be the best choice for patients who have difficulty operating.

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Section: Introductionmentioning

confidence: 99%