Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	106009
Country	China

Category	Surgery
Manuscript Type	Retrospective Study
Article Title	Application of modified Roux-en-Y digestive tract reconstruction in total gastrectomy for patients with gastric cancer
Manuscript Source	Unsolicited Manuscript
All Author List	Jing Yu, Min Li, Xiang-Zhi Qin, Lei Gong, Long Qin, Zhen-Bing Lv, Wei Guo, Bin Huang and Yun-Hong Tian
Funding Agency and Grant Number
Corresponding Author	Yun-Hong Tian, Department of Gastrointestinal Surgery, The Affiliated Nanchong Central Hospital of North Sichuan Medical College, No. 97 Renmin South Road, Shunqing District, Nanchong 637000, Sichuan Province, China. drtianyunhong@126.com
Key Words	Gastric cancer; Modified Roux-en-Y; Gastrointestinal reconstruction; Total gastrectomy; Roux-en-Y
Core Tip	This study compared modified vs. traditional Roux-en-Y reconstruction in 97 gastric cancer patients undergoing laparoscopy-assisted total gastrectomy. The modified method (n = 43) demonstrated shorter operation (160.9 vs 211.7 minutes) and reconstruction times (21.46 vs 52.25 minutes), reduced intraoperative bleeding, and fewer complications (e.g., reflux esophagitis: 0% vs 11.1%). Postoperative recovery and nutritional outcomes (weight loss, hemoglobin levels) were superior in the modified group. Findings suggest the modified technique improves safety, efficiency, and patient prognosis, aligning with rapid rehabilitation principles. Clinical adoption is recommended.
Citation	Yu J, Li M, Qin XZ, Gong L, Qin L, Lv ZB, Guo W, Huang B, Tian YH. Application of modified Roux-en-Y digestive tract reconstruction in total gastrectomy for patients with gastric cancer. World J Gastrointest Surg 2025; In press

Received	2025-02-21 03:47
Peer-Review Started	2025-02-21 03:48
To Make the First Decision
Return for Revision	2025-03-27 09:36
Revised	2025-04-01 15:36
Second Decision	2025-04-25 02:36
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-04-25 07:28
Articles in Press	2025-04-25 07:28
Publication Fee Transferred	2025-04-04 11:17
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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