[Reconstruction after total gastrectomy].

Reconstruction after total gastrectomy should be assessed based on the simplicity and safety of the procedure and postoperative digestive function. A survey performed by the Japan Gastric Cancer Association showed that the Roux-en-Y and small bowel interposition are the most common reconstructive procedures after total gastrectomy. Laparoscopic total gastrectomy is not yet the standard procedure under the Japanese guidelines for the treatment of gastric cancer. The most common reconstructive procedure after laparoscopic total gastrectomy is the Roux-Y, although the anastomotic procedure remains controversial.