Resanovic, Aleksandar (56388773500)Aleksandar (56388773500)ResanovicRandjelovic, Tomislav (6602693978)Tomislav (6602693978)RandjelovicResanovic, Vladimir (19934591200)Vladimir (19934591200)ResanovicToskovic, Borislav (57140526400)Borislav (57140526400)Toskovic2025-06-122025-06-122018https://doi.org/10.12669/pjms.343.14348https://www.scopus.com/inward/record.uri?eid=2-s2.0-85049130491&doi=10.12669%2fpjms.343.14348&partnerID=40&md5=a2f02b9f84b737a89c2a83eabb46f607https://remedy.med.bg.ac.rs/handle/123456789/6302Objective: Functional outcomes were prospectively compared between the standard Roux-en-Y and Double-tract reconstruction following a total gastrectomy and D2 lymphadenectomy. Methods: One hundred ten patients with gastric cancer were divided into two groups by the type of reconstruction. Age, gender, T stage, AJCC stage, length of operation, BMI (body mass index, kg/ m2), time to soft diet, postoperative leakage of the esophagojejunostomy (EJS), stricture of the EJS, meal intake, and quality of life (QOL) were recorded. Results: The mean age in the R-Y group was 61.57, with the SD of 9.53, while in the DT group the mean age was 60.17 with a SD of 9.92. The BMI decline in the R-Y group was 4.09 with a SD of 1.11, while in the DT group it was 2.85 with a SD of 1.27. We found a highly significant statistical difference between the two groups in the rate of the BMI decline (p<0,001). We found no statistically significant difference regarding QOL between the two groups, p>0.05. Conclusions: The Double tract reconstruction is a simple procedure and the rate of the BMI decline is much smaller compared to the Roux-en-Y group. © 2018, Professional Medical Publications. All rights reserved.Double tractGastric cancerMIRoux-en-Y