Comparative analysis of three kinds of digestive tract reconstruction after radical gastrectomy in the treat-ment of gastric cardia carcinoma
10.3760/cma.j.issn.1008-6706.2014.22.041
- VernacularTitle:胃底贲门癌根治术后三种消化道重建方式的疗效比较
- Author:
Jiting SU
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Digestive system surgical procedures
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(22):3461-3463
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects of three kinds digestive tract reconstruction after radical gas-trectomy for gastric cardia carcinoma.Methods The data of 150 patients underwent radical gastrectomy for gastric cardia cancer patients were analyzed.According to the reconstruction of digestive tract,they were divided into group A (55 cases),group B (46 cases),group C(49 cases).Patients in group A underwent jejunal anastomosis.Patients in group B underwent esophageal empty intestine Roux-en-Y anastomosis.Patients in group C underwent esophageal gas-tric wall anastomosis.All were follow-up for 12 months.Results During the follow-up period,the rate of reflux esoph-agitis in group A were significantly lower than that in B group (1.82%vs 19.57%,χ2 =6.966,P=0.008),the rate of reflux esophagitis in B group were significantly lower than that in C group (19.57%vs 38.78%,χ2 =4.212,P=0.042) .12 months after operation,overall health,constipation,diarrhea,nausea and vomiting index score of group A was significantly lower than those of group B and group C (all P<0.05).Conclusion The esophagus jejunum Roux-en-Y anastomosis is suitable for radical total gastrectomy in the treatment of gastric cardia carcinoma.The jeju-nal interposition anastomosis after proximal radical gastrectomy in the treatment of gastric cardia carcinoma shows low incidence of reflux esophagitis and high quality of life.
