{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T01:09:45Z","timestamp":1779325785959,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,12,6]],"date-time":"2013-12-06T00:00:00Z","timestamp":1386288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Various surgical procedures are used to treat early gastric cancers in the upper third of the stomach (U\u2010EGCs). However, there is no general agreement regarding the optimal surgical procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The medical records of 203 patients with U\u2010EGC were collected from 13\u00a0institutions. Surgical procedures were classified as Roux\u2010en\u2010Y esophagojejunostomy after total gastrectomy (TG\u2010RY), esophagogastrostomy after proximal gastrectomy (PG\u2010EG), or jejunal interposition after PG (PG\u2010JI). Patient clinical characteristics and perioperative and long\u2010term outcomes were compared among these three groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>TG\u2010RY, PG\u2010EG, and PG\u2010JI were performed in 122, 49, and 32 patients, respectively. Tumors were larger in TG\u2010RY patients than in PG\u2010EG and PG\u2010JI patients, and undifferentiated\u2010type gastric adenocarcinoma tended to be more frequent in TG\u2010RY than in PG\u2010EG. The operative time was shorter for PG\u2010EG than for PG\u2010JI and TG\u2010RY. Hospital stay and early postoperative complications were not different for the three procedures. With respect to gastrectomy\u2010associated symptoms, a \u201cstuck feeling\u201d and heartburn tended to be more frequent in PG\u2010EG patients, while dumping syndrome and diarrhea were more frequent in TG\u2010RY patients. Post\u2010surgical weight loss was not different among the three groups, however, serum albumin and hemoglobin levels tended to be lower in TG\u2010RY patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Three surgical procedures for U\u2010EGC did not result in differences in weight loss, but PG\u2010EG and PG\u2010JI were better than TG\u2010RY according to some nutritional markers. In U\u2010EGC, where patients are expected to have long survival times, PG\u2010EG and PG\u2010JI should be used rather than TG\u2010RY.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-013-2370-5","type":"journal-article","created":{"date-parts":[[2013,12,5]],"date-time":"2013-12-05T16:26:01Z","timestamp":1386260761000},"page":"1100-1106","source":"Crossref","is-referenced-by-count":79,"title":["Comparison of Perioperative and Long\u2010term Outcomes of Total and Proximal Gastrectomy for Early Gastric Cancer: A Multi\u2010institutional Retrospective Study"],"prefix":"10.1002","volume":"38","author":[{"given":"Toru","family":"Masuzawa","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery, Graduate School of Medicine Osaka University 2\u20102 Yamadaoka 565\u20100871 Suita Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuji","family":"Takiguchi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Graduate School of Medicine Osaka University 2\u20102 Yamadaoka 565\u20100871 Suita Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motohiro","family":"Hirao","sequence":"additional","affiliation":[{"name":"Department of Surgery Osaka National Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Imamura","sequence":"additional","affiliation":[{"name":"Department of Surgery Sakai Municipal Hospital Sakai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Kimura","sequence":"additional","affiliation":[{"name":"Department of Surgery NTT West Japan Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junya","family":"Fujita","sequence":"additional","affiliation":[{"name":"Department of Surgery Toyonaka Municipal Hospital Toyonaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isao","family":"Miyashiro","sequence":"additional","affiliation":[{"name":"Department of Surgery Osaka Medical Center for Cancer and Cardiovascular Diseases Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeyuki","family":"Tamura","sequence":"additional","affiliation":[{"name":"Department of Surgery Kansai Rosai Hospital Amagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Hiratsuka","sequence":"additional","affiliation":[{"name":"Department of Surgery Itami City Hospital Itami Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Surgery Kinki Central Hospital of Mutual Aid Association of Public School Teachers Itami Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiyuki","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Graduate School of Medicine Osaka University 2\u20102 Yamadaoka 565\u20100871 Suita Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaki","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Graduate School of Medicine Osaka University 2\u20102 Yamadaoka 565\u20100871 Suita Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Doki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Graduate School of Medicine Osaka University 2\u20102 Yamadaoka 565\u20100871 Suita Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,6]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.25516"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.20107"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyr184"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.2188\/jea.15.S74"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0960\u20107404(00)00018\u20109"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10120\u2010011\u20100085\u20106"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s101200050019"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1159\/000018771"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02303497"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4106"},{"key":"e_1_2_7_12_2","first-page":"491","article-title":"Proximal gastrectomy reconstructed by interposition of a jejunal pouch. 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