Current status of anti-reflux surgery of proximal gastrectomy for esophagogastric junction tumor
10.3760/cma.j.cn.441530-20191220-00519
- VernacularTitle:食管胃结合部肿瘤近端胃切除防反流手术研究现状
- Author:
Qisheng CHENG
1
;
Yong LIU
;
Xianghuang MEI
;
Jie WANG
;
Xiaowei QIN
;
Jinjie ZHANG
;
Wenqing HU
;
Liang ZONG
Author Information
1. 山西省长治市人民医院胃肠外科 046000
- Keywords:
Esophagogastric junction tumor;
Proximal gastrectomy;
Reconstruction of digestive tract;
Anti-reflux
- From:
Chinese Journal of Gastrointestinal Surgery
2020;23(10):1017-1022
- CountryChina
- Language:Chinese
-
Abstract:
In recent years, the overall incidence of gastric cancer has been decreasing worldwide, while the incidence of the esophagogastric junction tumor is increasing year by year. With the progress of the diagnostic technology of upper gastrointestinal tumors and the gradual popularization of early cancer screening, the detection rate of early esophagogastric junction tumor keeps increasing. Therefore, in recent years, the clinical application of gastric function preserving surgery is gradually increasing. As an important part of the surgical treatment strategy of esophagogastric junction tumors, proximal gastrectomy has attracted more and more attention with the confirmation of oncological safety. Compared with total gastrectomy, patients after proximal gastrectomy have better nutritional status and quality of life. However, the high incidence of reflux esophagitis after traditional proximal gastrectomy has seriously affected the quality of life of patients, and also hindered the application of proximal gastrectomy in esophagogastric junction tumors. How to reduce the occurrence of reflux esophagitis after proximal gastrectomy by optimizing the method of digestive tract reconstruction has been a big challenge in clinical practice. This article reviews the current methods of anti-reflux surgery for proximal gastrectomy for esophagogastric junction tumors, aiming to provide a reference for choosing a reasonable anti-reflux surgery.
