Proximal Gastrectomy with Double-Tract Reconstruction Reduces Glucose Spikes

Proximal gastrectomy with double-tract reconstruction leads to lower glucose variability postoperatively compared to total gastrectomy. Patients who underwent the procedure exhibited smaller fluctuations in glucose levels and experienced fewer dumping symptoms. Food flow into the remnant stomach was crucial for maintaining better glycemic control and preventing dumping syndrome. This study highlights the benefits of proximal gastrectomy with double-tract reconstruction in managing glucose spikes and improving postoperative outcomes.