Antrum preserving double tract reconstruction following proximal gastrectomy for Siewert type III early adenocarcinoma of the oesophagogastric junction (AEG) — case report

Abstract

Proximal gastrectomy is hardly ever used, nevertheless it can be recommended for early lesions of the upper-third of the stomach. In cases when endoscopic treatment is impossible or the criteria for radical endoscopic therapy are not fulfilled, the patient should receive surgery. There are methods available for digestive tract reconstruction but none are likely to provide a favourable outcome. However, the antrum preserving double tract method is a reasonable approach since it can maintain a smooth transfer of bulky foodstuffs through the duodenal route. We report an application of this method in the treatment of early AEG cancer.