Comparative study on digestive reconstruction after tota1 gastrectomy
10.3760/cma.j.issn.1008-6706.2012.13.010
- VernacularTitle:全胃切除术后消化道重建方式的比较
- Author:
Weidong ZHU
;
Hongwen ZENG
;
Manyue ZHENG
;
Daohong WU
;
Fubing JIANG
;
Jintuan HUANG
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Total gastrectomy;
Digestive reconstruction
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(13):1939-1940
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the type of the rational digestive reconstruction after total gastrectomy for gastric malignancy.Metlhods Three types of digestive reconstruction were performed after total gastrectomy in 121 cases with gastric carcinoma.The operating time,morbidity and mortality,digestive tract symptoms,nutritional status in 1 year after operation were compared.Results There were no signifioant differences among the three procedures in operative morbidity and mortality,postoperative food intake,nutritional status,incidences of diarrhea and dumping syndrome.Roux-en-Y esophajejunostomy and P-type esophajejunostomy had an advantage d anti-esophageal reflux,and are obviously superior to Lahey + Braun anastomosis.Roux-en-Y esophajejunostomy was simpler with shorter operating time and less complication.Condusion Roux-en-Y esophajejunostomy and P-type esophajejunostomy could be recommended as suitable methods for digestive reconstruction after total gastrectomy.
