Double-tract reconstruction for oesofagocardial gastric cancer: A systematic review

Abstract

The number of people with gastric cardia and distal oesophageal cancers has increased in the last five years. The surgical treatment method of choice is proximal gastrectomy, with an option being reconstruction of the gastrointestinal tract. There are many reconstruction techniques for anastomosis of the oesophagus and distal parts of the digestive tract. However, all can result in complications. This systematic review aims to identify the efficacy of the double-tract reconstruction method after gastric resection. Different operative techniques for gastric reconstruction have been included in this review. The double-tract reconstruction method, which is gaining popularity among surgeons in Asia and Europe, is a promising technique that improves the early and late results of surgical treatment. This method is associated with low complications related to gastroesophageal reflux disease and dysphagia. Double-tract reconstruction is a promising method for the treatment of patients with esofagocardial gastric cancer. However, further studies are required on the long-term complications and side effects.

Highlights

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  For the past 10 years there've been an increase in number of cases of proximal stomach and gastroesophageal junction cancers.

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  Double tract reconstruction can restore normal metabolic functions at the remote postoperative period.

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  Double tract operation can give the opportunity for free access to the major duodenal papilla by the preservation of gastrointestinal tract continuity.