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Related Concept Videos

Systematic Sampling Method01:17

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Related Experiment Video

Updated: Feb 13, 2026

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

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Reconstruction methods after radical proximal gastrectomy: A systematic review.

Shiqi Wang1, Shang Lin, Hu Wang

  • 1State Key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an, Shaanxi Province, China.

Medicine
|March 15, 2018
PubMed
Summary

Proximal gastrectomy reconstructions show good anti-reflux results, though optimal methods for gastric cancer surgery are still debated. Further research is needed to determine the best approach for patients.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Clinical Outcomes Research

Background:

  • Increasing incidence of upper third gastric tumors necessitates radical proximal gastrectomy.
  • Various reconstruction techniques follow proximal gastrectomy, with controversial surgical outcomes.
  • This review examines clinical outcomes of reconstructions after proximal gastrectomy.

Purpose of the Study:

  • To review and compare the clinical outcomes of different reconstruction methods following proximal gastrectomy.
  • To evaluate the efficacy and complication rates of various surgical reconstructions for gastric cancer.

Main Methods:

  • Systematic review of 22 retrospective and 2 prospective studies.
  • Inclusion criteria focused on postoperative complications in patients undergoing proximal gastrectomy for gastric cancer.
  • Exclusion of case reports, studies with missing data, duplicate reports, and specific surgical variations.

Main Results:

  • Ten reconstruction types were analyzed: esophagogastrostomy, jejunal interposition, jejunal pouch interposition, double tract jejunal interposition, and tube-like stomach esophagogastrostomy.
  • Pooled incidences of reflux esophagitis/symptoms ranged from 4.5% (jejunal interposition) to 28.6% (esophagogastrostomy).
  • Postoperative complication rates varied, with jejunal pouch interposition showing a low rate of 7.0%.

Conclusions:

  • Current reconstruction methods after proximal gastrectomy demonstrate excellent anti-reflux efficacy.
  • Despite increased surgical complexity, these reconstructions are effective.
  • The optimal reconstruction method for proximal gastrectomy remains undetermined.