Dual-suture fundoplication for anti-reflux reconstruction after proximal gastrectomy: a single-center retrospective case series.

ABSTRACT:

Background

Esophagogastrostomy (EG) after proximal gastrectomy (PG) is widely used but often complicated by reflux. Current anti-reflux procedures, such as double-tract and double-flap reconstructions, are effective but technically demanding. We developed a simplified, device-free anti-reflux EG that uses two sutures to approximate the angle of His, the gastric angle, and a neofundus-like contour.

Methods

We retrospectively analyzed 11 consecutive patients with upper-third gastric cancer who underwent laparoscopic PG followed by dual-suture fundoplication between May 2023 and November 2024. Surgical and clinical outcomes included operative time, blood loss, hospital stay, complications (Clavien-Dindo), reflux symptoms, endoscopic findings, and quality of life assessed using

SUBMITTER: Yan YX 

PROVIDER: S-EPMC12918137 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature