Anastomosis for distal gastrectomy in Chinese patients: Uncut roux-Y or roux-Y?

7Citations
Citations of this article
10Readers
Mendeley users who have this article in their library.

Abstract

Background: An appropriate method of anastomosis is crucial for gastric cancer patients who require gastrojejunal anastomosis. Surgeons have proposed different types of modified gastrojejunostomies in the last two decades. We focused on two types of standard anastomosis, i.e., Uncut Roux-Y and Roux-Y gastrojejunostomies, and compared the differences in immediate postoperative complications between the two types. Methods: This is a retrospective study on 236 gastric cancer patients who underwent curative distal gastrectomy with gastrojejunal Roux-Y or Uncut Roux-Y anastomosis for six consecutive years. Immediate postoperative complications were compared between the two groups. The authors discussed the causes of the significant complications and their management. Results: There was no difference in demographics between the two groups (92 Roux-y Versus 144 Uncut Roux-y). The overall complication rate was 20.8% with 1.4% anastomotic leakage in the Uncut Roux-Y group versus 33.7% with 7.6% anastomotic failures in the Roux-Y group (p < 0.05). More abdominal infections occurred in the Roux-Y anastomosis group compared with the Uncut Roux-Y anastomosis group (p < 0.05). Duration of postoperative stay was significantly longer in patients with Roux-y anastomosis group (p < 0.05). Conclusions: Considering the surgical simplicity and postoperative complications, the Uncut Roux-Y is a better choice for anastomosis in patients with gastric cancer undergoing gastrojejunostomy. A well-designed large cohort in a multi-centre randomized controlled trial is necessary to support these findings and compare other aspects.

References Powered by Scopus

Laparoscopic versus open subtotal gastrectomy for distal gastric cancer: Five-year results of a randomized prospective trial

791Citations
N/AReaders
Get full text

Morbidity and mortality of laparoscopic versus open D2 distal gastrectomy for advanced gastric cancer: A randomized controlled trial

609Citations
N/AReaders
Get full text

A randomized controlled trial comparing open vs laparoscopy-assisted distal gastrectomy for the treatment of early gastric cancer: An interim report

549Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Uncut Roux-en-Y might reduce the rate of reflux gastritis after radical distal gastrectomy: An evidence mapping from a systematic review

12Citations
N/AReaders
Get full text

Optimal Reconstruction After Laparoscopic Distal Gastrectomy: A Single-Center Retrospective Study

11Citations
N/AReaders
Get full text

Uncut Roux-en-Y reconstruction after distal gastrectomy for gastric cancer

6Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Sah, B. K., Li, J., Yan, C., Li, C., Yan, M., & Zhu, Z. G. (2020). Anastomosis for distal gastrectomy in Chinese patients: Uncut roux-Y or roux-Y? BMC Surgery, 20(1). https://doi.org/10.1186/s12893-019-0672-8

Readers over time

‘20‘21‘22‘23‘2402468

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 2

67%

Researcher 1

33%

Readers' Discipline

Tooltip

Medicine and Dentistry 4

100%

Save time finding and organizing research with Mendeley

Sign up for free
0