Research progress and controversy of early stage Siewert type Ⅱ/Ⅲ esophagogastric junction adenocarcinoma with different digestive tract reconstruction methods for postoperative quality of life
10.3760/cma.j.issn115396-20200416-00104
- VernacularTitle:早期Siewert Ⅱ/Ⅲ型食管胃结合部腺癌不同消化道重建方式术后生活质量的研究进展与争议
- Author:
Haiqiao ZHANG
1
;
Zhi ZHENG
;
Jie YIN
;
Jun CAI
;
Jun ZHANG
Author Information
1. 首都医科大学附属北京友谊医院普外科 100050
- From:
International Journal of Surgery
2020;47(11):773-776
- CountryChina
- Language:Chinese
-
Abstract:
In recent years, the incidence of esophagogastric junction adenocarcinoma (AEG) has gradually increased. At present, radical surgery is still the most effective treatment for early AEG, and its surgical methods include proximal gastrectomy and total gastrectomy. Although proximal gastrectomy preserves part of the structure and function of the stomach, postoperative complications such as gastroesophageal reflux seriously affect the quality of life of patients. Although total gastrectomy reduces the incidence of complications such as gastroesophageal reflux, the surgical trauma is large, and the postoperative digestive function is severely reduced, leading to complications such as anemia. As the prognosis of early gastric cancer is good, how to choose the gastrointestinal reconstruction method and improve the patient′s postoperative quality of life has gradually become the focus of the surgeon′s attention. The postoperative quality of life of different digestive tract reconstruction methods for early esophagogastric junction adenocarcinoma is reviewed.
