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

Aleksandar Radenko Resanovic, Tomislav Randjelovic, Vladimir Resanovic, Borislav Toskovic


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.


How to cite this:Resanovic A, Randjelovic T, Resanovic V, Toskovic B. Double Tract vs. Roux-en-Y Reconstruction in the treatment of Gastric Cancer. Pak J Med Sci. 2018;34(3):643-648.   doi:

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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