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Upper Gastrointestinal Tract ·

Age-Dependent Outcomes in Gastrectomy Reconstruction Choices

Choosing between tubular esophagogastric and double-tract anastomosis for older patients can affect perioperative safety and long-term quality of life.

  • Patients aged 70+ had fewer complications with tubular esophagogastric (25.9% vs. 50.0% for double-tract, p=0.049).
  • Double-tract anastomosis had longer operative times (232.1 min vs. 217.6 min for tubular esophagogastric, p=0.016) and better reflux control at 12 and 24 months (p<0.05).

Consider age when selecting the anastomosis type to balance risks and functional outcomes.

  • Double-tract showed lower anastomotic stenosis rates at 3 months (4.0% vs. 11.4%, p=0.038).

Journal Article by Wei M, Yan Z (…) Yu W et 11 al. in Surg Endosc

© 2026. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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