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Langenbeck's Archives of Surgery

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01.12.2024 | Review

Technical variety of anastomotic techniques used in proximal gastrectomy with double-tract-reconstruction - a narrative review

verfasst von: Hai-Peng Tang, He-Xi Zhu, Guo-Peng Lu, Zheng-Qi Peng, Ze-Kai Chen, Meng-Chuan Wang

Erschienen in: Langenbeck's Archives of Surgery | Ausgabe 1/2024

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Abstract

In the past 40 years, the incidence of esophagogastric junction cancer has been gradually increasing worldwide. Currently, surgical resection remains the main radical treatment for early gastric cancer. Due to the rise of functional preservation surgery, proximal gastrectomy has become an alternative to total gastrectomy for surgeons in Japan and South Korea. However, the methods of digestive tract reconstruction after proximal gastrectomy have not been fully unified. At present, the principal methods include esophagogastrostomy, double flap technique, jejunal interposition, and double tract reconstruction. Related studies have shown that double tract reconstruction has a good anti-reflux effect and improves postoperative nutritional prognosis, and it is expected to become a standard digestive tract reconstruction method after proximal gastrectomy. However, the optimal anastomoses mode in current double tract reconstruction is still controversial. This article aims to review the current status of double tract reconstruction and address the aforementioned issues.

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Titel: Technical variety of anastomotic techniques used in proximal gastrectomy with double-tract-reconstruction - a narrative review
verfasst von: Hai-Peng Tang
He-Xi Zhu
Guo-Peng Lu
Zheng-Qi Peng
Ze-Kai Chen
Meng-Chuan Wang
Publikationsdatum: 01.12.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Langenbeck's Archives of Surgery / Ausgabe 1/2024
Print ISSN: 1435-2443
Elektronische ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-024-03339-3

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Abstract

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