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. 2018 May-Jun;34(3):643-648.
doi: 10.12669/pjms.343.14348.

Double Tract vs. Roux-en-Y Reconstruction in the treatment of Gastric Cancer

Aleksandar Resanovic  1 , Tomislav Randjelovic  2 , Vladimir Resanovic  3 , Borislav Toskovic  4
Affiliations

Double Tract vs. Roux-en-Y Reconstruction in the treatment of Gastric Cancer

Aleksandar Resanovic et al. Pak J Med Sci. 2018 May-Jun.

Abstract

Objective: Functional outcomes were prospectively compared between the standard Roux-en-Y and Double-tract reconstruction following a total gastrectomy and D2 lymphadenectomy.

Methods: One hundred ten patients with gastric cancer were divided into two groups by the type of reconstruction. Age, gender, T stage, AJCC stage, length of operation, BMI (body mass index, kg/m2), time to soft diet, postoperative leakage of the esophagojejunostomy (EJS), stricture of the EJS, meal intake, and quality of life (QOL) were recorded.

Results: The mean age in the R-Y group was 61.57, with the SD of 9.53, while in the DT group the mean age was 60.17 with a SD of 9.92. The BMI decline in the R-Y group was 4.09 with a SD of 1.11, while in the DT group it was 2.85 with a SD of 1.27. We found a highly significant statistical difference between the two groups in the rate of the BMI decline (p<0,001). We found no statistically significant difference regarding QOL between the two groups, p>0.05.

Conclusions: The Double tract reconstruction is a simple procedure and the rate of the BMI decline is much smaller compared to the Roux-en-Y group.

Keywords: BMI; Double tract; Gastric cancer; Roux-en-Y.

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References

    1. Torre LA, Bray F, Siegel RL, Ferlay J, Lortet-Tieulent J, Jemal A. Global cancer statistics, 2012. CA Cancer J Clin. 2015;65:87–108. - PubMed
    1. World Cancer Research Fund International/American Institute for Cancer Research. Continuous update project report:diet, nutrition, physical activity and stomach cancer. 2016. [8 August 2016, date last accessed]. wcrf.org/stomach-cancer-2016 .
    1. Arnold M, Karim-Kos HE, Coebergh JW, Byrnes G, Antilla A, Ferlay J, et al. Recent trends in incidence of five common cancers in 26 European countries since 1988:analysis of the European Cancer Observatory. Eur J Cancer. 2015;51:1164–1187. - PubMed
    1. Ahn HS, Lee HJ, Hahn S, Kim WH, Lee KU, Sano T, et al. Evaluation of the seventh American Joint Committee on Cancer/International Union Against Cancer Classification of gastric adenocarcinoma in comparison with the sixth classification. Cancer. 2010;116:5592–5598. doi:10.1002/cncr.25550. - PubMed
    1. Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2010 (ver. 3) Gastric Cancer. 2011;14:113–123. - PubMed

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