ArticleAnnals of gastroenterological surgery2026
Risk Factors for Anastomotic Stricture and Obstructive Symptoms Following Double-Flap Technique Reconstruction After Proximal Gastrectomy.
Article in Annals of gastroenterological surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Longitudinal assessment of quality-of-life after gastrectomy for gastric cancer: a prospective study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026Article
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10 authors.
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Abstract
Background: The double-flap technique (DFT) is a widely used esophagogastrostomy method after proximal gastrectomy (PG) due to its strong anti-reflux mechanism. However, anastomotic stricture remains a major concern, leading to obstructive symptoms and impaired postoperative quality of life (QOL). This study aimed to identify risk factors for anastomotic stricture and obstructive symptoms after PG with DFT reconstruction. Methods: This single-center, retrospective study analyzed 77 patients who underwent DFT reconstruction between 2014 and 2022. The impact of technical factors, including suturing methods and mucosal detachment, was evaluated. In addition, intraluminal pressure analysis was performed using ex vivo pig stomach models to assess sites contributing to obstructive symptoms. Results: Anastomotic stricture requiring balloon dilatation occurred in 10 patients (13%), with mucosal detachment of the esophagus identified as an independent risk factor (odds ratio [OR]: 48, 95% confidence interval [CI]: 4.47-515, Conclusion: Preventing mucosal detachment by minimizing thermal damage can reduce anastomotic stricture. Further, interrupted suturing at the E-S fixation site may reduce obstructive symptoms. These findings provide insights into optimizing DFT reconstruction to improve postoperative outcomes and patient QOL.
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