{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:32:23Z","timestamp":1772987543383,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T00:00:00Z","timestamp":1737590400000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"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>Background<\/jats:title>\n                    <jats:p>Laparoscopy\u2010assisted distal gastrectomy (LADG) with Billroth I (B\u2010I) reconstruction is frequently performed for gastric cancer. However, the difference between the circular stapler technique (CS) and delta\u2010shaped anastomosis (DA) remains unclear, especially regarding the postoperative endoscopic physiological findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three hundred and one patients including 150 CS patients and 151 DA patients during LADG with B\u2010I reconstruction between 2013 and 2019 at Saitama Medical University International Medical Center were chosen as study subjects. Postoperative endoscopic findings (1\u2010year post\u2010surgery) in the remnant stomach were evaluated according to the residue, gastritis, and bile\u2010reflux classification, and the first\u2010year postoperative weight changes were also recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The incidences of Grade 2 or higher remnant gastritis, bile reflux, and postoperative exacerbated reflux esophagitis were significantly higher in the DA group, while the amount of residual food was higher in the CS group. Multivariate analysis also revealed the higher risks of Grade 2 or higher gastritis and the postoperative existence or exacerbation of erosive reflux esophagitis in the DA group (OR [95% CI] was 2.737 [1.566\u20134.783], 3.533 [1.101\u201311.34], and 3.749 [1.021\u201313.76], respectively). However, none of these endoscopic differences but the broader extent of gastritis was the only endoscopic factor associated with severe postoperative weight loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There was a trend toward more exacerbation of residual gastritis and reflux esophagitis with the DA technique and more food remnants with the CS technique. Although the difference in the anastomotic technique did not directly result in weight loss, attention should be paid to prevent extensive residual gastritis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70023","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T20:19:21Z","timestamp":1737663561000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparisons in Postoperative Endoscopic Findings and Postoperative Weight Change Between Delta\u2010Shaped Anastomosis and Circular\u2010Stapled Anastomosis in Laparoscopy\u2010Assisted Distal Gastrectomy With B\u2010I Reconstruction"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7532-4072","authenticated-orcid":false,"given":"Shuichiro","family":"Oya","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery Saitama Medical University International 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