{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T02:13:48Z","timestamp":1788488028322,"version":"build-2803163510"},"reference-count":37,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:00:00Z","timestamp":1704931200000},"content-version":"vor","delay-in-days":224,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100015640","name":"Tongji Hospital","doi-asserted-by":"publisher","award":["No. ITJ (ZD) 1804"],"award-info":[{"award-number":["No. ITJ (ZD) 1804"]}],"id":[{"id":"10.13039\/501100015640","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100015640","name":"Tongji Hospital","doi-asserted-by":"publisher","award":["No. 201840357"],"award-info":[{"award-number":["No. 201840357"]}],"id":[{"id":"10.13039\/501100015640","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100015640","name":"Tongji Hospital","doi-asserted-by":"publisher","award":["SKW2038"],"award-info":[{"award-number":["SKW2038"]}],"id":[{"id":"10.13039\/501100015640","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100015640","name":"Tongji Hospital","doi-asserted-by":"publisher","award":["SKW1921"],"award-info":[{"award-number":["SKW1921"]}],"id":[{"id":"10.13039\/501100015640","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Gastrointestinal Surgery"],"published-print":{"date-parts":[[2023,6]]},"DOI":"10.1007\/s11605-023-05644-6","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T12:02:27Z","timestamp":1678795347000},"page":"1098-1105","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Tranditional Roux-en-Y vs Uncut Roux-en-Y in Laparoscopic Distal Gastrectomy: a Randomized Controlled Study"],"prefix":"10.1016","volume":"27","author":[{"given":"Huahao","family":"Xie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenshen","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quanning","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhizhan","family":"Ni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Song","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bujun","family":"Ge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liming","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1007\/s11605-023-05644-6_bb0010","doi-asserted-by":"crossref","unstructured":"Smyth EC, Nilsson M and Grabsch HI, et al. Gastric cancer. Lancet 2020; 396: 635\u2013648. Journal Article; Research Support, Non-U.S. Gov't; Review. https:\/\/doi.org\/10.1016\/S0140-6736(20)31288-5.","DOI":"10.1016\/S0140-6736(20)31288-5"},{"key":"10.1007\/s11605-023-05644-6_bb0015","doi-asserted-by":"crossref","unstructured":"van de Cornelis Velde JH, Putter H and Kranenbarg EM, et al. Surgical treatment of gastric cancer: 15-year follow-up results of the randomised nationwide Dutch D1D2 trial. Lancet Oncol. 2010; 11: 439\u2013449. Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't. https:\/\/doi.org\/10.1016\/S1470-2045(10)70070-X.","DOI":"10.1016\/S1470-2045(10)70070-X"},{"key":"10.1007\/s11605-023-05644-6_bb0020","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1001\/jamaoncol.2018.6727","article-title":"Effect of Laparoscopic Distal Gastrectomy vs Open Distal Gastrectomy on Long-term Survival Among Patients With Stage I Gastric Cancer","volume":"5","author":"Kim","year":"2019","journal-title":"Jama Oncol"},{"key":"10.1007\/s11605-023-05644-6_bb0025","doi-asserted-by":"crossref","first-page":"789","DOI":"10.7150\/jca.28843","article-title":"The Development and Future of Digestive Tract Reconstruction after Distal Gastrectomy: A Systemic Review and Meta-Analysis","volume":"10","author":"Chen","year":"2019","journal-title":"J. Cancer"},{"key":"10.1007\/s11605-023-05644-6_bb0030","doi-asserted-by":"crossref","first-page":"2997","DOI":"10.1007\/s12325-019-01104-3","article-title":"Comparison of Billroth I, Billroth II, and Roux-en-Y Reconstruction After Totally Laparoscopic Distal Gastrectomy: A Randomized Controlled Study","volume":"36","author":"Ren","year":"2019","journal-title":"Adv. Ther."},{"key":"10.1007\/s11605-023-05644-6_bb0035","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1097\/SLA.0000000000002229","article-title":"Roux-en-Y or Billroth II Reconstruction After Radical Distal Gastrectomy for Gastric Cancer","volume":"267","author":"So","year":"2018","journal-title":"Ann. Surg."},{"key":"10.1007\/s11605-023-05644-6_bb0040","doi-asserted-by":"crossref","unstructured":"Collard JM and Romagnoli R. Roux-en-Y jejunal loop and bile reflux. Am. J. Surg. 2000; 179: 298\u2013303. Comparative Study; Journal Article. https:\/\/doi.org\/10.1016\/s0002-9610(00)00326-3.","DOI":"10.1016\/S0002-9610(00)00326-3"},{"key":"10.1007\/s11605-023-05644-6_bb0045","first-page":"1180566096","article-title":"A Comparison of the Short-Term Clinical Effects Between Totally Laparoscopic Radical Gastrectomy With Modified Roux-en-Y Anastomosis and Laparoscopic-Assisted Radical Gastrectomy With Roux-en-Y Anastomosis","volume":"19","author":"Zhu","year":"2020","journal-title":"Technol. Cancer Res. T."},{"key":"10.1007\/s11605-023-05644-6_bb0050","first-page":"7532","article-title":"Comparison of Billroth I, Billroth II, and Roux-en-Y reconstructions after distal gastrectomy according to functional recovery: a meta-analysis","volume":"23","author":"Liu","year":"2019","journal-title":"Eur Rev Med Pharmaco"},{"key":"10.1007\/s11605-023-05644-6_bb0055","doi-asserted-by":"crossref","first-page":"1955","DOI":"10.1007\/s11605-020-04867-1","article-title":"Comparison of the Long-term Outcome Between Billroth-I and Roux-en-Y Reconstruction Following Distal Gastrectomy for Gastric Cancer","volume":"25","author":"Wu","year":"2021","journal-title":"J. Gastrointest. Surg."},{"key":"10.1007\/s11605-023-05644-6_bb0060","doi-asserted-by":"crossref","unstructured":"Cai Z, Zhou Y and Wang C, et al. Optimal reconstruction methods after distal gastrectomy for gastric cancer. Medicine 2018; 97: e10823. https:\/\/doi.org\/10.1097\/MD.0000000000010823.","DOI":"10.1097\/MD.0000000000010823"},{"key":"10.1007\/s11605-023-05644-6_bb0065","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1016\/S0002-9610(88)80120-X","article-title":"Roux-Y stasis syndrome after gastrectomy","volume":"155","author":"Gustavsson","year":"1988","journal-title":"The American Journal of Surgery"},{"key":"10.1007\/s11605-023-05644-6_bb0070","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1007\/s10120-020-01048-6","article-title":"Propensity-score-matched analysis of a multi-institutional dataset to compare postoperative complications between Billroth I and Roux-en-Y reconstructions after distal gastrectomy","volume":"23","author":"Nakanishi","year":"2020","journal-title":"Gastric Cancer"},{"key":"10.1007\/s11605-023-05644-6_bb0075","doi-asserted-by":"crossref","unstructured":"Gustavsson S, Ilstrup DM and Morrison P, et al. Roux-Y stasis syndrome after gastrectomy. Am. J. Surg. 1988; 155: 490\u2013494. Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. https:\/\/doi.org\/10.1016\/s0002-9610(88)80120-x.","DOI":"10.1016\/S0002-9610(88)80120-X"},{"key":"10.1007\/s11605-023-05644-6_bb0080","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.amjsurg.2011.04.004","article-title":"Postoperative long-term evaluation of interposition reconstruction compared with Roux-en-Y after total gastrectomy in gastric cancer: prospective randomized controlled trial","volume":"202","author":"Ishigami","year":"2011","journal-title":"The American Journal of Surgery"},{"key":"10.1007\/s11605-023-05644-6_bb0085","doi-asserted-by":"crossref","first-page":"2145","DOI":"10.1007\/s11605-011-1683-7","article-title":"Different Features of Complications with Billroth-I and Roux-en-Y Reconstruction After Laparoscopy-Assisted Distal Gastrectomy","volume":"15","author":"Kumagai","year":"2011","journal-title":"J. Gastrointest. Surg."},{"key":"10.1007\/s11605-023-05644-6_bb0090","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1016\/S0016-5085(08)64180-3","article-title":"T1753 Results of Uncut Roux-En Y Reconstruction After Distal Gastrectomy for Gastric Cancer","volume":"134","author":"Shibata","year":"2008","journal-title":"Gastroenterology"},{"key":"10.1007\/s11605-023-05644-6_bb0095","doi-asserted-by":"crossref","unstructured":"Li Y, Wang Q and Yang K, et al. Uncut Roux-en-Y might reduce the rate of reflux gastritis after radical distal gastrectomy: An evidence mapping from a systematic review. Int J. Surg 2022; 97: 106184. https:\/\/doi.org\/10.1016\/j.ijsu.2021.106184.","DOI":"10.1016\/j.ijsu.2021.106184"},{"key":"10.1007\/s11605-023-05644-6_bb0100","unstructured":"Shibata C, Kakyo M and Kinouchi M, et al. Results of modified uncut Roux-en-Y reconstruction after distal gastrectomy for gastric cancer. Hepatogastroenterology 2013; 60: 1797\u20131799. Journal Article."},{"key":"10.1007\/s11605-023-05644-6_bb0105","doi-asserted-by":"crossref","unstructured":"Tu BN, Sarr MG and Kelly KA. Early clinical results with the uncut Roux reconstruction after gastrectomy: limitations of the stapling technique. Am. J. Surg. 1995; 170: 262\u2013264. Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. https:\/\/doi.org\/10.1016\/s0002-9610(05)80011-x.","DOI":"10.1016\/S0002-9610(05)80011-X"},{"key":"10.1007\/s11605-023-05644-6_bb0110","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1097\/SLA.0000000000002168","article-title":"Laparoscopy-assisted versus Open D2 Distal Gastrectomy for Advanced Gastric Cancer","volume":"267","author":"Park","year":"2018","journal-title":"Ann. Surg."},{"key":"10.1007\/s11605-023-05644-6_bb0115","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1002\/bjs.9582","article-title":"Consensus guidelines for enhanced recovery after gastrectomy","volume":"101","author":"Mortensen","year":"2014","journal-title":"Brit. J. Surg."},{"key":"10.1007\/s11605-023-05644-6_bb0120","doi-asserted-by":"crossref","unstructured":"Mathias JR, Fernandez A and Sninsky CA, et al. Nausea, vomiting, and abdominal pain after Roux-en-Y anastomosis: motility of the jejunal limb. Gastroenterology 1985; 88: 101\u2013107. Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S. https:\/\/doi.org\/10.1016\/s0016-5085(85)80140-2.","DOI":"10.1016\/S0016-5085(85)80140-2"},{"key":"10.1007\/s11605-023-05644-6_bb0125","doi-asserted-by":"crossref","unstructured":"Lundell LR, Dent J and Bennett JR, et al. Endoscopic assessment of oesophagitis: clinical and functional correlates and further validation of the Los Angeles classification. Gut 1999; 45: 172\u2013180. Journal Article; Research Support, Non-U.S. Gov't. https:\/\/doi.org\/10.1136\/gut.45.2.172.","DOI":"10.1136\/gut.45.2.172"},{"key":"10.1007\/s11605-023-05644-6_bb0130","unstructured":"Van Stiegmann G and Goff JS. An alternative to Roux-en-Y for treatment of bile reflux gastritis. Surg Gynecol Obstet 1988; 166: 69\u201370. Journal Article."},{"key":"10.1007\/s11605-023-05644-6_bb0135","doi-asserted-by":"crossref","first-page":"7699","DOI":"10.3748\/wjg.v12.i47.7699","article-title":"Myoelectric activity and motility of the Roux limb after cut or uncut Roux-en-Y gastrojejunostomy","volume":"12","author":"Zhang","year":"2006","journal-title":"World journal of gastroenterology : WJG"},{"key":"10.1007\/s11605-023-05644-6_bb0140","unstructured":"Wang Y, Li Z and Shan F, et al. [Comparison of the safety and the costs between laparoscopic assisted or totally laparoscopic uncut Roux-en-Y and BillrothII(+Braun reconstruction--a single center prospective cohort study]. Zhonghua Wei Chang Wai Ke Za Zhi 2018; 21: 312\u2013317. Journal Article."},{"key":"10.1007\/s11605-023-05644-6_bb0145","doi-asserted-by":"crossref","unstructured":"Wu F, Ni Z and Diao H, et al. Recanalization in Uncut Roux-en-Y Reconstruction: An Animal Experiment and a Clinical Study. Frontiers in Surgery 2021; 8. https:\/\/doi.org\/10.3389\/fsurg.2021.644864.","DOI":"10.3389\/fsurg.2021.644864"},{"key":"10.1007\/s11605-023-05644-6_bb0150","doi-asserted-by":"crossref","unstructured":"Hangtian C, Huabing H and Tianhang L, et al. Isoperistaltic versus antiperistaltic uncut Roux-en-Y anastomosis after distal gastrectomy for gastric cancer: a propensity score matched analysis. Bmc Surg 2020; 20. https:\/\/doi.org\/10.1186\/s12893-020-00936-z.","DOI":"10.1186\/s12893-020-00936-z"},{"key":"10.1007\/s11605-023-05644-6_bb0155","doi-asserted-by":"crossref","first-page":"4669","DOI":"10.3748\/wjg.v26.i31.4669","article-title":"Initial experience of single-incision plus one port left-side approach totally laparoscopic distal gastrectomy with uncut Roux-en-Y reconstruction","volume":"26","author":"Zhou","year":"2020","journal-title":"World J. Gastroentero."},{"key":"10.1007\/s11605-023-05644-6_bb0160","doi-asserted-by":"crossref","first-page":"4022","DOI":"10.1007\/s00268-018-4715-6","article-title":"Roux Stasis Syndrome and Gastric Food Stasis After Laparoscopic Distal Gastrectomy with Uncut Roux-en-Y Reconstruction in Gastric Cancer Patients: A Propensity Score Matching Analysis","volume":"42","author":"Park","year":"2018","journal-title":"World J. Surg."},{"key":"10.1007\/s11605-023-05644-6_bb0165","doi-asserted-by":"crossref","unstructured":"Tu BN and Kelly KA. Motility Disorders after Roux-en-Y Gastrojejunostomy. Obes. Surg. 1994; 4: 219\u2013226. Journal Article. https:\/\/doi.org\/10.1381\/096089294765558412.","DOI":"10.1381\/096089294765558412"},{"key":"10.1007\/s11605-023-05644-6_bb0170","unstructured":"Zheng CH, Lu J and Huang CM, et al. Treatment of locally advanced gastric cancer with the XELOX program of neoadjuvantchemotherapy combined with laparoscopic surgery: the experience in China. Hepatogastroenterology 2014; 61: 1876\u20131882. Comparative Study; Journal Article; Research Support, Non-U.S. Gov't."},{"key":"10.1007\/s11605-023-05644-6_bb0175","doi-asserted-by":"crossref","unstructured":"Huang Y, Wang S and Shi Y, et al. Uncut Roux-en-Y reconstruction after distal gastrectomy for gastric cancer. Expert Rev Gastroenterol Hepatol 2016; 10: 1341\u20131347. Journal Article; Review. https:\/\/doi.org\/10.1080\/17474124.2016.1248404.","DOI":"10.1080\/17474124.2016.1248404"},{"key":"10.1007\/s11605-023-05644-6_bb0180","doi-asserted-by":"crossref","unstructured":"Huang C, Huang R and Chen H, et al. Chromatin Accessibility Regulates Gene Expression and Correlates With Tumor-Infiltrating Immune Cells in Gastric Adenocarcinoma. Front Oncol 2021; 10. https:\/\/doi.org\/10.3389\/fonc.2020.609940.","DOI":"10.3389\/fonc.2020.609940"},{"key":"10.1007\/s11605-023-05644-6_bb0185","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1245\/s10434-020-08710-4","article-title":"Total Laparoscopic Uncut Roux-en-Y for Radical Distal Gastrectomy: An Interim Analysis of a Randomized, Controlled","volume":"28","author":"Wang","year":"2021","journal-title":"Clinical Trial. Ann. Surg. Oncol."},{"key":"10.1007\/s11605-023-05644-6_bb0190","doi-asserted-by":"crossref","first-page":"e17","DOI":"10.1016\/j.jamcollsurg.2013.09.009","article-title":"Intracorporeal Uncut Roux-en-Y Gastrojejunostomy Reconstruction in Pure Single-Incision Laparoscopic Distal Gastrectomy for Early Gastric Cancer: Unaided Stapling Closure","volume":"218","author":"Ahn","year":"2014","journal-title":"J. Am. Coll. Surgeons"}],"container-title":["Journal of Gastrointestinal Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11605-023-05644-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11605-023-05644-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1091255X23004018?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1091255X23004018?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11605-023-05644-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T01:45:09Z","timestamp":1788486309000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1091255X23004018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":37,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["S1091255X23004018"],"URL":"https:\/\/doi.org\/10.1007\/s11605-023-05644-6","relation":{},"ISSN":["1091-255X"],"issn-type":[{"value":"1091-255X","type":"print"}],"subject":[],"published":{"date-parts":[[2023,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Tranditional Roux-en-Y vs Uncut Roux-en-Y in Laparoscopic Distal Gastrectomy: a Randomized Controlled Study","name":"articletitle","label":"Article Title"},{"value":"Journal of Gastrointestinal Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1007\/s11605-023-05644-6","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2023 The Author(s)","name":"copyright","label":"Copyright"}]}}