Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	109030
Country	Türkiye

Category	Surgery
Manuscript Type	Systematic Reviews
Article Title	Double tract reconstruction in proximal gastric tumors: A systematic review of clinical and functional outcomes
Manuscript Source	Invited Manuscript
All Author List	Enver Ilhan and Gökalp Okut
Funding Agency and Grant Number
Corresponding Author	Enver Ilhan, Full Professor, Department of General Surgery, Izmir Faculty of Medicine, University of Health Sciences Türkiye, Izmir City Hospital, Evket İnce Neighborhood, 2148/11 Street, No. 1/11, Izmir 35040, Türkiye. enverhan60@gmail.com
Key Words	Nutritional outcomes; Reflux esophagitis; Gastric cancer; Total gastrectomy; Double tract reconstruction; Proximal gastrectomy
Core Tip	Proximal gastrectomy (PG) with double tract reconstruction (DTR) has gained attention as a function-preserving surgical technique for proximal gastric cancer. This systematic review demonstrates that PG-DTR achieves oncological outcomes comparable to total gastrectomy with Roux-en-Y reconstruction, while offering significant advantages in postoperative nutritional status. Preservation of the residual stomach and duodenum appears to play a critical role in minimizing weight loss and maintaining better haematological parameters. These findings suggest that PG-DTR may be a superior surgical option for selected patients without compromising oncological safety.
Citation	Ilhan E, Okut G. Double tract reconstruction in proximal gastric tumors: A systematic review of clinical and functional outcomes. World J Gastrointest Surg 2025; In press

Received	2025-04-28 10:18
Peer-Review Started	2025-04-28 10:19
To Make the First Decision
Return for Revision	2025-05-15 10:13
Revised	2025-05-27 13:07
Second Decision	2025-07-31 02:40
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-07-31 06:07
Articles in Press	2025-07-31 06:07
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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