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Double-Tract Reconstructive Gastrectomy for Proximal Gastric Cancer

Authors
Liang Yun Jia1, Fu Hong2, Zhang Min1, Chen Li Wen1, Qian bin1

Affiliations

  1. General Surgery Department of Shanghai Eighth People's Hospital, 200235, Shanghai, People’s Republic of CHINA
  2. Dept of Gastric Surgery, Fudan University, Shanghai Cancer Center, 200032, Shanghai, People’s Republic of CHINA

Background
The best treatment option for early proximal stomach cancer has been identified as surgical resection followed by an acceptable reconstructive procedure. Improper reconstruction of digestive tract may lead to malnutrition syndrome and gastroesophageal reflux symptoms. Gastrointestinal reconstruction following gastrectomy is still being studied extensively. The method of gastrointestinal reconstruction is very essential as it should be safe, provide benefits, improves patients’ survival, disease free progression, and should effectively maintain a substantial nutritional status.

Methods
We finished 6 cases of DTR for proximal gastric cancer from last year. All are excellent on clinical outcome with nearly no Gerd and good nutrition. In many countries DTR can be performed for patients with early proximal gastric cancer. we provides another promising results that DTR can be utilized in these patients; as it results in decreased gastroesophageal reflux symptoms, it can prevent severe anemia and also maintains Weight, upon same T stage on TG / PG.

Effect on postoperative
These 6 cases of performed DTR patients was significantly decreased gastroesophageal reflux symptoms, as well as severe anemia and Weight loss after 6 months adjuvant chemotherapy.

Conclusion
Double - tract reconstructive （DTR） is one of the best choices for proximal gastric cancer to decreased gastroesophageal reflux symptoms and maintain good nutrition status.