WHICH IS BETTER MANAGEMENT OF GASTRIC CANCER (GC): DOUBLE TRACT (DT) RECONSTRUCTION VERSUS ROUX-EN-Y (R-Y) RECONSTRUCTION

Objective: The comparison of functional outcomes was made prospectively between Double-tract reconstruction and standard Roux-en-Y following D-2 lymphadenectomy and total gastrectomy. Methods: Our research included 100 gastric cancer patients and made groups (Group I & II) on reconstruction type grounds. Gender, age, stage of AJCC stage, T - stage, operation prolongation, BMI (kg/m2), postoperative esophagojejunostomy (EJS) leakage, time to soft diet, EJS stricture, QOL (quality of life) and meal intake were documented. Results: R-Y group had a mean age as (61.57 years) with SD value as (9.53); whereas, mean age in DT group was (60.17 years) with value of SD as 9.92. Decrease of BMI in “R – Y” group and SD were respectively (4.09 and 1.11); whereas, in DT group (2.85 and 1.27). There was a significant variation in both the groups in BMI decline rate with P-value as (< 0.001). No significant variation was observed regarding life quality in both groups (P-value above 0.05). Conclusions: Double Tract (DT) reconstruction is considered as simple process and decline in BMI rate is much less than “Roux-en-Y” group. Keywords: BMI, Double Tract (DT), Roux-en-Y and Gastric cancer