title: Uncut Roux-en-Y reconstruction after distal gastrectomy for gastric cancer.
abstract: Uncut Roux-en-Y gastrojejunostomy is a modification of the Billroth II procedure with Braun anastomosis, in which a jejunal occlusion is fashioned to avoid the Roux Stasis Syndrome. This review aimed to summarize the current knowledge about the uncut Roux-en-Y anastomosis operation, so that surgeons may be able to make informed decisions about its clinical application. Additionally, we hope that our findings will guide future research on this topic. Areas covered: The original uncut technique was associated with dehiscence or recanalization of the jejunal occlusion, and was therefore not widely applied. However, with recent improvements in the method of jejunal occlusion, the uncut Roux-en-Y reconstruction may be an appropriate alternative for digestive tract reconstruction after distal gastrectomy. This review summarizes the basic research on and clinical applications of uncut Roux-en-Y gastrojejunostomy from the following several aspects: origin of the uncut reconstruction technique, rationale for uncut reconstruction based on data from animal experiments, clinical results of the uncut reconstruction, recanalization and its countermeasures, and so on. Expert commentary: The uncut Roux-en-Y gastrojejunostomy is a controversial yet promising method of gastrointestinal reconstruction after distal gastrectomy. Prospective randomized controlled trials and long-term follow-up outcomes are required to support the modified technique in the future.
authors.affiliation: a Dalian Medicine University , DaLian , P. R. China.|b Department of Gastrointestinal Surgery , Subei People's Hospital of Jiangsu Province , Yangzhou , P. R. China.
authors.forename: Yuqin
authors.initials: Y
authors.lastname: Huang
authors.affiliation: c The First Clinical Medical College , Nanjing Medical University , Nanjing , P. R. China.
authors.forename: Sen
authors.initials: S
authors.lastname: Wang
authors.affiliation: a Dalian Medicine University , DaLian , P. R. China.|b Department of Gastrointestinal Surgery , Subei People's Hospital of Jiangsu Province , Yangzhou , P. R. China.
authors.forename: Youquan
authors.initials: Y
authors.lastname: Shi
authors.affiliation: b Department of Gastrointestinal Surgery , Subei People's Hospital of Jiangsu Province , Yangzhou , P. R. China.
authors.forename: Dong
authors.initials: D
authors.lastname: Tang
authors.affiliation: b Department of Gastrointestinal Surgery , Subei People's Hospital of Jiangsu Province , Yangzhou , P. R. China.
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.affiliation: b Department of Gastrointestinal Surgery , Subei People's Hospital of Jiangsu Province , Yangzhou , P. R. China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Chong
authors.affiliation: b Department of Gastrointestinal Surgery , Subei People's Hospital of Jiangsu Province , Yangzhou , P. R. China.
authors.forename: Huaicheng
authors.initials: H
authors.lastname: Zhou
authors.affiliation: d Xiangya School of Medicine , Central South University , Changsha , P. R. China.
authors.forename: Qingquan
authors.initials: Q
authors.lastname: Xiong
authors.affiliation: a Dalian Medicine University , DaLian , P. R. China.|b Department of Gastrointestinal Surgery , Subei People's Hospital of Jiangsu Province , Yangzhou , P. R. China.
authors.forename: Jie
authors.initials: J
authors.lastname: Wang
authors.affiliation: b Department of Gastrointestinal Surgery , Subei People's Hospital of Jiangsu Province , Yangzhou , P. R. China.
authors.forename: Daorong
authors.initials: D
authors.lastname: Wang
mesh_terms: D005743:Gastrectomy / Q000009:adverse effects; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
keywords: Roux-en-Y anastomosis; Uncut Roux-en-Y reconstruction; digestive tract reconstruction; distal gastrectomy; gastric cancer