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

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.

doi: https://doi.org/10.12669/pjms.343.14348

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: https://doi.org/10.12669/pjms.343.14348

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