{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:39:41Z","timestamp":1786653581526,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T00:00:00Z","timestamp":1744070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>This retrospective study aims to compare the feasibility and efficacy of the modified Billroth-II with Braun (B-II Braun) reconstruction with the Roux-en-Y (R-Y) reconstruction following laparoscopic distal gastrectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>Between January 2020 and December 2022, 213 patients underwent total laparoscopic distal gastrectomy (TLDG). Of these, 125 patients underwent B-II Braun reconstruction and 8 underwent R-Y reconstruction. Patient data were prospectively collected and retrospectively analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The modified B-II Braun reconstruction required shorter operative times compared to the R-Y approach (151.60 \u00b1 12.50 vs. 182.50 \u00b1 10.60;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0037), including anastomosis time (32.46 \u00b1 1.55 vs. 48.80 \u00b1 2.84;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.016). At a 6-month short-term follow-up, endoscopic examination in the B-II Braun group revealed 27 cases of bile reflux and 15 cases (10.3%) of Grade 2 gastritis, with no cases of Grade 2 food residue. However, there was no statistically significant difference between the two groups in terms of food residue remaining in the residual stomach at 6 months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.29), gastritis at 6 months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.126) or bile reflux at 6 months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.209).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>For gastric cancer patients, TLDG with modified B-II Braun reconstruction is technically feasible. It offers an acceptable post-operative complication profile, shortens operative time, facilitates early post-operative recovery and effectively prevents bile reflux into the remnant stomach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_306_23","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T11:46:39Z","timestamp":1744112799000},"page":"245-250","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Evaluating the application value of the modified Billroth-II with Braun anastomosis in laparoscopic distal gastric cancer radical surgery"],"prefix":"10.4103","volume":"21","author":[{"given":"Yubing","family":"Zhong","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery, Yixing Hospital Affiliated to Jiangsu University, Yixing, Wuxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Qian","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Yixing Hospital Affiliated to Jiangsu University, Yixing, Wuxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Yixing Hospital Affiliated to Jiangsu University, Yixing, Wuxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4,8]]},"reference":[{"key":"R1-20250714","doi-asserted-by":"crossref","first-page":"394","DOI":"10.3322\/caac.21492","article-title":"Global cancer statistics. 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"68","author":"Bray","year":"2018","journal-title":"CA Cancer J Clin"},{"key":"R2-20250714","doi-asserted-by":"crossref","first-page":"894775","DOI":"10.3389\/fsurg.2022.894775","article-title":"Application status and prospects of artificial intelligence in peptic ulcers","volume":"9","author":"Zhao","year":"2022","journal-title":"Front Surg"},{"key":"R3-20250714","doi-asserted-by":"crossref","first-page":"2734","DOI":"10.1007\/s00268-015-3160-z","article-title":"A multi-institutional, prospective, phase II feasibility study of laparoscopy-assisted distal gastrectomy with D2 lymph node dissection for locally advanced gastric cancer (JLSSG0901)","volume":"39","author":"Inaki","year":"2015","journal-title":"World J Surg"},{"key":"R4-20250714","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s00423-023-02895-4","article-title":"Laparoscopic-assisted robotic distal gastrectomy for gastric cancer by Billroth II reconstruction","volume":"408","author":"Konishi","year":"2023","journal-title":"Langenbecks Arch Surg"},{"key":"R5-20250714","doi-asserted-by":"crossref","first-page":"1294","DOI":"10.1089\/lap.2017.0605","article-title":"Curative effect of digestive tract reconstruction after radical gastrectomy for distal gastric cancer","volume":"28","author":"Li","year":"2018","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"R6-20250714","doi-asserted-by":"crossref","first-page":"e10823","DOI":"10.1097\/MD.0000000000010823","article-title":"Optimal reconstruction methods after distal gastrectomy for gastric cancer: A systematic review and network meta-analysis","volume":"97","author":"Cai","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"R7-20250714","first-page":"CD012998","article-title":"Roux-en-Y versus Billroth-I reconstruction after distal gastrectomy for gastric cancer","volume":"9","author":"Nishizaki","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"key":"R8-20250714","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.7150\/ijms.6632","article-title":"Totally laparoscopic distal gastrectomy with D2 lymphadenectomy and Billroth II gastrojejunostomy for gastric cancer: Short- and medium-term results of 139 consecutive cases from a single institution","volume":"10","author":"Chen","year":"2013","journal-title":"Int J Med Sci"},{"key":"R9-20250714","doi-asserted-by":"crossref","first-page":"2359","DOI":"10.1245\/s10434-021-11187-4","article-title":"A modified Billroth-II with Braun anastomosis in totally laparoscopic distal gastrectomy: Initial experience compared with Roux-en-Y anastomosis","volume":"29","author":"Yalikun","year":"2022","journal-title":"Ann Surg Oncol"},{"key":"R10-20250714","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/S0039-6109(16)45685-9","article-title":"Surgical treatment of gastric cancer. 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