Applicability of jejuna interposition after proximal radical gastrectomy in patients with proximal stomach cancer
10.3760/cma.j.issn.1673-4203.2014.07.013
- VernacularTitle:近端胃癌根治间置空肠术的应用效果观察
- Author:
Jianqiang HUANG
;
Jianhui ZHAO
- Publication Type:Journal Article
- Keywords:
Gastrectomy;
Jejuna interposition after proximal radical gastrectomy;
Postoperative complications;
Nutritional status;
Quality of life
- From:
International Journal of Surgery
2014;41(7):470-473
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare complication,nutritional status and quality of life between total gastrectomy and jejuna interposition after proximal radical gastrectomy in patients with advanced proximal gastric carcinoma.Methods Eighty-five patients with proximal stomach cancer were enrolled from Jan.2002 to Dec.2008,total gastrectomy group(Control group) had 40 cases,jejuna interposition after proximal radical gastrectomy(Experimental group) included 45 cases.Nutritional status,incidence of reflux esophagitis and cholecystolithiasis,5-year survival rate,quality of life were investigated.Results There was no significant difference in 5-year survival rate between two groups(P ＞ 0.05).Incidence of reflux esophagitis in Experimental group was significantly lower than that in Control group(P =0.042).Incidence of cholecystolithiasis in Experimental group was significantly lower than that in Control group (P =0.038).Hemoglobin,albumin,vitamin B12 and ferritin in Experimental group were significantly higher than those in Control group[(142.2 ±8.6) vs (128.4 ±8.4),(41.3 ±5.8) vs (35.9 ±3.8),(271.5 ± 49.7) vs (184.5 ± 24.6),(220.2 ± 59.7) vs (170.2 ± 27.6),P =0.036,0.024,0.032,0.026].Diet and labor in Experimental group were better than those in Control group (P =0.042,0.048).Conclusion Jejuna interposition after proximal radical gastrectomy decrease incidences of reflux esophagitis and cholecystolithiasis,improve nutritional status and quality of life.
