{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T10:24:42Z","timestamp":1788863082453,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,18]],"date-time":"2024-02-18T00:00:00Z","timestamp":1708214400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Annals of Gastroent Surgery"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There are two methods of Roux\u2010en\u2010Y (RY) reconstruction after gastrectomy: the antecolic route (ACR) and retrocolic route (RCR). There is no evidence to support that the ACR achieves comparable long\u2010term survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a multi\u2010center historical cohort study. Patients diagnosed with clinical T3\/4a and any N stage who underwent open gastrectomy and R0 resection for gastric adenocarcinoma between January 2006 and December 2012 were enrolled. The primary outcome was the hazard ratio of ACR for overall survival, with adjustment for confounding factors by propensity score matching, and a Cox proportional hazards model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1758 eligible patients were identified from the database. After matching, 410 patients in the ACR and RCR groups were included in the final analysis. The adjusted hazard ratio (95% CI) for ACR was 1.148 (0.870\u20131.492). The five\u2010year survival rates in the ACR and RCR groups were 74.3% (69.5\u201378.4) and 77.3% (72.3\u201381.2), respectively. The short\u2010term surgical outcomes of the two groups did not differ to a statistically significant extent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The route used to lift the jejunum in RY reconstruction did not affect the incidence of long\u2010term survival or postoperative complications. The ACR and RCR are both acceptable options for RY reconstruction during gastric cancer surgery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ags3.12779","type":"journal-article","created":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T07:14:40Z","timestamp":1708326880000},"page":"443-449","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of the survival outcomes between retrocolic and antecolic Roux\u2010en\u2010Y reconstruction after gastrectomy for gastric cancer"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3492-9881","authenticated-orcid":false,"given":"Michitaka","family":"Honda","sequence":"first","affiliation":[{"name":"Department of Surgery Southern Tohoku General Hospital  Koriyama Japan"},{"name":"Department of Minimally Invasive Surgical and Medical Oncology Fukushima Medical University  Fukushima 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