{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:44:49Z","timestamp":1760035489485,"version":"build-2065373602"},"reference-count":12,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T00:00:00Z","timestamp":1752105600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>This study introduces a novel reconstruction method (Itihaas\u2019s Anastomosis) for the upper gastrointestinal (UGI) tract following proximal gastrectomy, designed to mitigate the severity of acid reflux syndrome, a frequent postoperative complication. The procedure comprises three side-to-side anastomoses: esophago-gastrostomy, gastro-jejunostomy, and jejuno-jejunostomy. The esophago-gastrostomy anastomosis aims to prevent direct reflux of gastric contents into the esophagus by creating a fundus-like structure, which also facilitates future endoscopic procedures. The gastro-jejunostomy reduces acid reflux by diverting gastric acid to the jejunum for further neutralization, while the jejuno-jejunostomy prevents bile and pancreatic juice reflux into the stomach. A 75-year-old male with adenocarcinoma of the upper stomach underwent this surgical procedure. Postoperative outcomes showed no major complications, with smooth oral contrast passage and no evidence of anastomotic leaks. The patient was discharged after resuming consumption of semi-solid food and experienced no signs of reflux. Itihaas\u2019s Anastomosis represents a novel technical approach that theoretically may reduce acid reflux following proximal gastrectomy. Initial case experience suggests technical feasibility, though all claimed benefits remain theoretical without objective validation. Long-term outcomes, anti-reflux efficacy, and comparative effectiveness require validation through systematic case series with objective assessments.<\/jats:p>","DOI":"10.3390\/healthcare13141663","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T09:38:27Z","timestamp":1752140307000},"page":"1663","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: A Novel Reconstruction Method (Itihaas\u2019s Anastomosis) for Proximal Gastrectomy"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7415-960X","authenticated-orcid":false,"given":"Birendra Kumar","family":"Sah","sequence":"first","affiliation":[{"name":"Gastrointestinal Surgery Unit, Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Er Road, Shanghai 200025, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenjia","family":"Yu","sequence":"additional","affiliation":[{"name":"Gastrointestinal Surgery Unit, Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Er Road, Shanghai 200025, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen","family":"Li","sequence":"additional","affiliation":[{"name":"Gastrointestinal Surgery Unit, Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Er Road, Shanghai 200025, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenggang","family":"Zhu","sequence":"additional","affiliation":[{"name":"Gastrointestinal Surgery Unit, Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Er Road, Shanghai 200025, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"4344","DOI":"10.1016\/j.asjsur.2022.11.069","article-title":"Current status of gastrectomy and reconstruction types for patients with proximal gastric cancer in Japan","volume":"46","author":"Yamashita","year":"2023","journal-title":"Asian J. 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Oncol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/S1470-2045(06)70766-5","article-title":"Left thoracoabdominal approach versus abdominal-transhiatal approach for gastric cancer of the cardia or subcardia: A randomised controlled trial","volume":"7","author":"Sasako","year":"2006","journal-title":"Lancet Oncol."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Sah, B.K., Li, J., Yan, C., Li, C., Yan, M., and Zhu, Z.G. (2020). Anastomosis for distal gastrectomy in Chinese patients: Uncut roux-Y or roux-Y?. 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