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September 10, 2025Diseases of the Esophagus

Supradiaphragmatic Roux-en-Y Reconstruction After Extended Total Gastrectomy for Esophagogastric Adenocarcinoma at a Single Institution

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Authors

MSMarisa SewellSSSmita SihagMBMatthew J. Bott

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Overview

Retrospective study evaluates outcomes of Roux-en-Y reconstruction after total gastrectomy, suggesting feasibility and low complications.

Key Points

  • Overall, 29 patients who underwent extended total gastrectomy had a median disease-free survival of 4.5 years.
  • Seventeen percent experienced an anastomotic leak, while quality of life was similar between groups, but diarrhea was more pronounced in gastrectomy patients.
  • Patients resumed a regular diet within 3 months, despite a longer hospital stay compared to standard esophagectomy cases.
  • Neoadjuvant therapy was utilized in 83% of patients, contributing to their overall outcomes and recovery.

Cite This Study

Sewell et al. (2025) studied this question.

synapsesocial.com/papers/68c195559b7b07f3a061900ahttps://doi.org/10.1093/dote/doaf061.023
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Also Consider

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  1. 1Robotic Multivisceral Resection for Gastroesophageal Junction Tumor: Proximal Gastrectomy with Double-Tract Reconstruction and Distal Pancreatectomy2026 · 1 citations
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  4. 4Reconstruction After Proximal Gastrectomy for Adenocarcinoma of the Esophagogastric Junction: Current Evidence, Comparative Outcomes, and Future Perspectives2026
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