Experience in digestive reconstruction of P-type Roux-en-Y esophagojejunostomy following total gastrectomy in patients with gastric cancer

VernacularTitle:胃癌全胃切除P型空肠袢重建消化道的术式探讨
Author: Changguo WANG
Publication Type:Journal Article
Keywords: Stomach Neoplasms; Gastrectomy; Anastomosis,Roux-en-Y
From: Chinese Journal of Primary Medicine and Pharmacy 2010;17(13):1757-1758
CountryChina
Language:Chinese
Abstract: Objective To investigate an ideal way to reconstruct the digestive canal after total gastrectomy. Methods The clinical data of 87 cases with gastric cancer confirmed by pathology were retrospectively analyzed between May 2003 and Jan 2009, and every patient was subjected to P style of total gastrectomy and digestive canal reconstruction by using jejunum. The diet,symptoms and the body weight were observed. Results In the 87 cases, there was no death causalgia behind sternum. During the follow-up period in the patients with the survival time more than one year, the meal habit was recovered. No reflux symptom was found. The body weight increased in all patients. Conclusions P style operation in gastric cancer is easy and safe to perform. Reflux esophagitis and dumping syndrome seldom developed. "P"jejunal ansa basically played the role in preservation and nutrition of stomach,so this was an ideal way to reconstruct the digestive canal after total gastrectomy.