{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T13:56:42Z","timestamp":1775483802811,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T00:00:00Z","timestamp":1735516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T00:00:00Z","timestamp":1735516800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Laparoscopic distal gastrectomy (LDG) is the standard treatment for gastric cancer, during which the laparoscopic Billroth I anastomosis technique, also known as the delta\u2010shaped anastomosis (DA), is widely performed. This study aimed to evaluate the differences in short\u2010 and long\u2010term symptoms between DA and traditional circular anastomosis (CA) techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively compared DA and CA procedures in patients undergoing LDG and subsequent reconstruction using the Billroth I method at the Kanagawa Cancer Center from 2017 to 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Other than blood loss, no significant differences were observed in the short\u2010term outcomes between the two groups. However, 1\u2010year post\u2010surgery, the DA group had a higher incidence of diarrhea, lower incidence of remnant gastritis, and higher weight loss than the CA group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both DA and CA techniques were similar in terms of safety. However, the DA group had a higher incidence of diarrhea and a lower incidence of remnant gastritis than the CA group 1\u2010year after surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70014","type":"journal-article","created":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T22:15:21Z","timestamp":1735596921000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of Clinical Outcomes Between Delta\u2010Shaped and Circular Anastomoses After Laparoscopic Distal Gastrectomy"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3564-6891","authenticated-orcid":false,"given":"Takanobu","family":"Yamada","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery Kanagawa Cancer Center  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinsuke","family":"Nagasawa","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Kanagawa Cancer Center  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyohei","family":"Kanematsu","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Kanagawa Cancer Center  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junya","family":"Morita","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Kanagawa Cancer Center  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shizune","family":"Onuma","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Kanagawa Cancer Center  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mie","family":"Tanabe","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Kanagawa Cancer Center  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuta","family":"Nakayama","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Kanagawa Cancer Center  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manabu","family":"Shiozawa","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Kanagawa Cancer Center  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoto","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Kanagawa Cancer Center  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Ogata","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Kanagawa Cancer Center  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Oshima","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Kanagawa Cancer Center  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,30]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"146","article-title":"Laparoscopy\u2010Assisted Billroth I Gastrectomy","volume":"4","author":"Kitano S.","year":"1994","journal-title":"Surgical Laparoscopy & Endoscopy"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2018.6727"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(19)30332-2"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.5359"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-015-1365-z"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.0096"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(02)01239-5"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-015-0532-7"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12770"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3966-z"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1402-6"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-2869-8"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120-011-0041-5"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120-011-0057-x"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120-022-01331-8"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1758-5910.2011.00082.x"},{"key":"e_1_2_11_18_1","first-page":"518","article-title":"Proposed Classification of Complications of Surgery With Examples of Utility in Cholecystectomy","volume":"111","author":"Clavien P. 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