Effects of jejunal interposition and Roux-en-Y surgery after total gastrectomy
10.11659/jjssx.11E017015
- VernacularTitle:全胃切除术后间置空肠代胃术与Roux-en-Y术消化道重建的疗效观察
- Author:
Shao-Ke GAO
1
;
Qing-Ke LI
;
Yun-Chang ZHANG
;
Xue-Rui NIU
Author Information
1. 邢矿集团总医院普外科
- Keywords:
total gastrectomy;
jejunal interposition;
Roux-en-Y surgery nutritional status;
quality of life
- From:
Journal of Regional Anatomy and Operative Surgery
2018;27(2):111-114
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate and compare the effects of jejunal interposition and Roux-en-Y surgery after total gastrectomy. Methods The clinical data of 41 patients with gastric cancer who underwent total gastrectomy in our hospital from June 2013 to June 2016 were retrospectively analyzed.According to the different ways of reconstruction of digestive tract,the patients were divided into observation group and control group.Patients of the observation group were with jejunal interposition surgery,while patients of the control group were trea-ted with Roux-en-Y surgery,and the effects of the two groups were compared and analyzed.Results There was no significant difference be-tween the two groups in the time of reconstruction,length of hospital stay and the incidence of complications(P>0.05).One year after sur-gery,incidence of complications,albumin,total health score,fatigue score,and disgust score of the observation group were significantly better than those of the control group with statistically significant difference(P<0.05).There was no significant difference between the two groups in survival rate,hemoglobin,total protein,weight changes(P>0.05).Conclusion For patients with total gastrectomy,jejunal interposition and Roux-en-Y surgery had similar effect.But in terms of the long-term effect,jejunal interposition can reduce complications and improve lev-el of nutrition and quality of life.
