Effect of different procedures of alimentary reconstruction after total gastrectomy on postoperative digestive and absorptive function

VernacularTitle:胃癌全胃切除后不同消化道重建术式对消化吸收功能的影响
Author: Qiang CHEN ; Xiaobing TANG ; Tao AN ; Tao ZHOU
Publication Type:Journal Article
Keywords: gastric cancer; total gastrectomy; digestive tract reconstruction
From: Journal of Regional Anatomy and Operative Surgery 2014;(2):197-198
CountryChina
Language:Chinese
Abstract: Objective To analyze the effect of different procedures of alimentary reconstruction for the digestive and absorptive functions of patients after total gastrectomy. Methods From January 2012 to January 2013,there were 114 patients with gastric cancer,of which 58 patients received Roux-en-Y anastomosis were the control group,56 patients received P-type jejunal loop esophageal jejunal Roux-en-Y anas-tomosis were the observation group,the nutritional status and postoperative complications of two groups were compared. Results The level of RBC,HGB,TP and ALB of the observation group were significantly higher than that of the control group(P<0. 05),the incidence rate of in-traoperative complications,diarrhea and reflux esophagitis of the two groups had no significant differences (P>0. 05),but the incidence rate of postoperative dumping syndrome and abdominal distension of the observation group were significantly lower than that of the control group (P<0. 05). Conclusion The efficacy of P-type jejunal loop esophageal jejunal Roux-en-Y anastomosis for gastric surgery was superior to Roux-en-Y anastomosis.