Predictive value of portal venous phase computed tomography parameters for anastomotic stricture after D2 gastrectomy

doi:10.4240/wjgs.118910

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. Jun 27, 2026; 18(6): 118910
Published online Jun 27, 2026. doi: 10.4240/wjgs.118910

Table 1 Comparison of clinical data between two groups, mean ± SD/n (%)

Variable	Stricture group (n = 23)	Non-stricture group (n = 176)	t/χ²/Z value	P value
Age (years)	63.2 ± 8.9	61.1 ± 9.8	1.024	0.307
Sex			0.313	0.576
Male	16 (69.6)	112 (63.6)
Female	7 (30.4)	64 (36.4)
Body mass index (kg/m²)	25.8 ± 3.2	23.4 ± 3.1	3.521	0.001
Diabetes mellitus	9 (39.1)	32 (18.2)	5.324	0.021
Hypertension	8 (34.8)	51 (29.0)	0.337	0.562
Preoperative serum albumin (g/L)	35.2 ± 4.8	38.6 ± 5.1	-3.092	0.002
Tumor location			8.762	0.013
Cardia/fundus	11 (47.8)	42 (23.9)
Body	6 (26.1)	52 (29.5)
Antrum/pylorus	6 (26.1)	82 (46.6)
Tumor-node-metastasis stage			2.156	0.541
Stage I	3 (13.0)	38 (21.6)
Stage II	8 (34.8)	62 (35.2)
Stage III	12 (52.2)	76 (43.2)
Surgical approach			6.891	0.009
Total gastrectomy	14 (60.9)	58 (33.0)
Distal gastrectomy	9 (39.1)	118 (67.0)
Digestive tract reconstruction			7.234	0.027
Billroth I	3 (13.0)	56 (31.8)
Billroth II	5 (21.7)	48 (27.3)
Roux-en-Y anastomosis	15 (65.2)	72 (40.9)
Stapler model			5.127	0.024
Diameter 25 mm	16 (69.6)	82 (46.6)
Diameter 29 mm	7 (30.4)	94 (53.4)
Anastomotic technique			1.738	0.187
End-to-end anastomosis	4 (17.4)	54 (30.7)
End-to-side anastomosis	19 (82.6)	122 (69.3)
Postoperative complications (≥ grade II)¹	8 (34.8)	26 (14.8)	5.671	0.017
Anastomotic leakage	2 (8.7)	7 (4.0)		0.268²
Intra-abdominal infection	3 (13.0)	6 (3.4)		0.054²
Hemorrhage	1 (4.3)	4 (2.3)		0.470²
Pulmonary infection	2 (8.7)	8 (4.5)		0.329²
Wound infection	2 (8.7)	5 (2.8)		0.181²
Postoperative adjuvant therapy	15 (65.2)	98 (55.7)	0.758	0.384

¹The same patient may experience multiple complications simultaneously, so the sum of individual categories may exceed the total complication count.

²Fisher’s exact test was used.

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Citation: Zhang H, Zhu B, Bai GJ. Predictive value of portal venous phase computed tomography parameters for anastomotic stricture after D2 gastrectomy. World J Gastrointest Surg 2026; 18(6): 118910
URL: https://www.wjgnet.com/1948-9366/full/v18/i6/118910.htm
DOI: https://dx.doi.org/10.4240/wjgs.118910

Zhang H, Zhu B, Bai GJ. Predictive value of portal venous phase computed tomography parameters for anastomotic stricture after D2 gastrectomy. World J Gastrointest Surg 2026; 18(6): 118910 [DOI: 10.4240/wjgs.118910]

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