Retrospective Study
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 14, 2015; 21(34): 9999-10007
Published online Sep 14, 2015. doi: 10.3748/wjg.v21.i34.9999
Clinical comparison of antrum-preserving double tract reconstruction vs roux-en-Y reconstruction after gastrectomy for Siewert types II and III adenocarcinoma of the esophagogastric junction
Jiang-Wei Xiao, Zi-Lin Liu, Peng-Cheng Ye, Ya-Jun Luo, Zhi-Ming Fu, Qin Zou, Shou-Jiang Wei
Jiang-Wei Xiao, Zi-Lin Liu, Peng-Cheng Ye, Ya-Jun Luo, Zhi-Ming Fu, Shou-Jiang Wei, Department of General Surgery, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China
Qin Zou, West China Hospital/West China School of Nursing, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Xiao JW, Liu ZL and Wei SJ designed the study; Xiao JW, Liu ZL, Ye PC, Luo YJ, Fu ZM and Wei SJ performed the research; Xiao JW, Liu ZL and Zou Q analyzed the data; Liu ZL and Xiao JW wrote the manuscript; Liu ZL and Xiao JW contributed equally to this study and shared the first authorship.
Supported by Grants from Sichuan Provincial Department of Education Research Project, No. 14ZA0192; and National Natural Science Foundation of China, No. 30700773, No. 81070378, and No. 81270561.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Jiang-Wei Xiao, MD, PhD, Professor, Department of General Surgery, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan province, China. xiaojiangwei@126.com
Telephone: +86-13890868466 Fax: +86-817-2262417
Received: February 27, 2015
Peer-review started: March 1, 2015
First decision: April 13, 2015
Revised: April 23, 2015
Accepted: July 15, 2015
Article in press: July 15, 2015
Published online: September 14, 2015
Processing time: 198 Days and 19.7 Hours
Core Tip

Core tip: Antrum-preserving double-tract reconstruction (ADTR) was introduced to improve the near-term quality of life and decrease reflux esophagitis in patients with adenocarcinoma of the esophagogastric junction. The clinicopathological characteristics, perioperative outcomes, postoperative complications, morbidity and overall survival after ADTR and Roux-en-Y reconstruction (RY) (ADTR group, n = 18 vs RY group, n = 37) were retrospectively compared to evaluate the efficacy and safety of the procedures. The results of the study demonstrated that ADTR was technically safe and feasible, offering an agreeable near-term quality of life, especially in terms of early recovery and the alleviation of reflux esophagitis. ADTR may be a worthwhile digestive tract reconstruction method for Siewert types II and III adenocarcinoma of the esophagogastric junction.