Evaluation of esophagogastric anastomosis with additional mechanical anti-reflux barrier after proximal gastrectomy
10.3760/cma.j.cn441530-20240731-00267
- VernacularTitle:近端胃切除附加机械性抗反流屏障的食管胃吻合方式评价
- Author:
Peng GAO
1
;
Xianli HE
;
Zhuo HAN
Author Information
1. 空军军医大学第二附属医院普通外科，西安 710038
- Keywords:
Esophagogastric junction neoplasms;
Proximal gastrectomy;
Digestive tract reconstruction;
Anastomosis
- From:
Chinese Journal of Gastrointestinal Surgery
2024;27(10):1018-1026
- CountryChina
- Language:Chinese
-
Abstract:
The application of proximal gastrectomy for suitable upper gastric cancer and AEG patients is increasing along with the promotion of the concept and technology for function-preserving partial gastrectomy. The following problems such as postoperative reflux esophagitis and anastomotic stenosis naturally become the focus of academic field. Based on the understanding of the anti-reflux structure and function of the esophagogastric junction, scholars have successfully established some representative esophagogastric anastomosis methods with additional mechanical anti-reflux barrier, including gastric tube reconstruction, side overlap esophagogastrostomy, and double flap technique. Subsequently, a series of improved esophagogastric reconstruction methods have been derived. At present, the recognized ideal reconstruction method has not yet been established, and there are also misunderstandings in related concepts and cognition. Based on the literatures and the authors' own practical experience, this paper draws on the research results in the field of surgical treatment for reflux esophagitis, and discusses the theoretical basis, key details and anti-reflux effect of the above-mentioned digestive tract reconstruction methods after proximal gastrectomy, as well as the possible problems in the exploration of innovative surgical methods at home and abroad.
