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Comparison of Clinical Outcomes Between Delta-Shaped and Circular Anastomoses After Laparoscopic Distal Gastrectomy.

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Asian journal of endoscopic surgery 📖 저널 OA 28.6% 2024: 0/1 OA 2025: 4/13 OA 2026: 4/14 OA 2024~2026 2025 Vol.18(1) p. e70014
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Yamada T, Nagasawa S, Kanematsu K, Morita J, Onuma S, Tanabe M, Nakayama Y, Shiozawa M, Yamamoto N, Ogata T, Oshima T

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[INTRODUCTION] Laparoscopic distal gastrectomy (LDG) is the standard treatment for gastric cancer, during which the laparoscopic Billroth I anastomosis technique, also known as the delta-shaped anasto

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APA Yamada T, Nagasawa S, et al. (2025). Comparison of Clinical Outcomes Between Delta-Shaped and Circular Anastomoses After Laparoscopic Distal Gastrectomy.. Asian journal of endoscopic surgery, 18(1), e70014. https://doi.org/10.1111/ases.70014
MLA Yamada T, et al.. "Comparison of Clinical Outcomes Between Delta-Shaped and Circular Anastomoses After Laparoscopic Distal Gastrectomy.." Asian journal of endoscopic surgery, vol. 18, no. 1, 2025, pp. e70014.
PMID 39739847 ↗
DOI 10.1111/ases.70014

Abstract

[INTRODUCTION] Laparoscopic distal gastrectomy (LDG) is the standard treatment for gastric cancer, during which the laparoscopic Billroth I anastomosis technique, also known as the delta-shaped anastomosis (DA), is widely performed. This study aimed to evaluate the differences in short- and long-term symptoms between DA and traditional circular anastomosis (CA) techniques.

[METHODS] We retrospectively compared DA and CA procedures in patients undergoing LDG and subsequent reconstruction using the Billroth I method at the Kanagawa Cancer Center from 2017 to 2022.

[RESULTS] Other than blood loss, no significant differences were observed in the short-term outcomes between the two groups. However, 1-year post-surgery, the DA group had a higher incidence of diarrhea, lower incidence of remnant gastritis, and higher weight loss than the CA group.

[CONCLUSION] Both DA and CA techniques were similar in terms of safety. However, the DA group had a higher incidence of diarrhea and a lower incidence of remnant gastritis than the CA group 1-year after surgery.

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