We evaluated postoperative outcomes of double tract reconstruction (DT) following distal gastrectomy for the gastric cancer. DT in 33 patients, Billroth I reconstruction (BI) in 47 and Roux-en Y reconstruction (RY) in 28 were investigated in terms of postoperative endoscopic findings, His angle measured from postoperative esophago-gastrography and quality of life used gastrointestinal symptom rating scale (GSRS). The degree and extent of gastritis was significantly lower in DT and RY than in BI. His angle of BI was significantly greater than that of RY and DT, and in the patients with reflux esophagitis. Score of reflux was significantly lower in DT and RY than in BI, and score of indigestion was significantly lower in DT than in RY. DT is a useful reconstruction concerning physiological passage of food and better outcome assessments.
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