While most traditional surgical reconstructive techniques for gastrectomy create a blind duodenal stump, a newer technique, "double tract reconstruction," anastomoses the remnant duodenum to a portion of the jejunum, creating a parallel pathway for decompression.
Reference:
- Hong J, Wang SY, Hao HK. A Comparative Study of Double-Tract Reconstruction and Roux-en-Y After Gastrectomy for Gastric Cancer. Surg Laparosc Endosc Percutan Tech 2019; 29:82.
Modified from: Otsuka R, Hayashi H, Hanari N, et al. Laparoscopic double-tract reconstruction after total gastrectomy for postoperative duodenal surveillance: Case series. Ann Med Surg (Lond) 2017; 21:105.
