Effect of semi-embedded valve anastomosis on anti-reflux after proximal gastrectomy for esophagogastric junction cancer
10.3760/cma.j.cn113855-20191125-00686
- VernacularTitle:半包埋活瓣式吻合应用于食管胃结合部癌防反流的疗效分析
- Author:
Canfeng WANG
1
;
Zhanxue ZHANG
Author Information
1. 河北医科大学第二医院胃肠外科，石家庄 050000
- From:
Chinese Journal of General Surgery
2020;35(6):452-454
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To prevent postoperative reflux symptoms in patients undergoing proximal gastrectomy for esophagogastric junction cancer by using a new method of anti-reflux anastomosis.Methods:The clinical data of 15 patients with esophagogastric junction cancer at Department of Gastrointestinal Surgery , Second Hospital of Hebei Medical University from Jan 2018 to Apr 2019 were analyzed, and a new method of anti-reflux anastomosis was used to compare the difference of reflux between preoperative and postoperative status.Results:All patients recovered well after operation, 2 patients suffered moderate swallow disturbance after one month of operation, and the symptoms disappeared by gastroscope anastomosis dilation. The scores of reflux disease questionnaire before and after operation were in accordance with normal distribution (16 ±12 vs. 10 ±4, t=1.877, P=0.081), the results showed that there was no significant difference. Conclusion:This new method of anti-reflux anastomosis has a definite anti-reflux effect on postoperative patients with esophagogastric junction cancer.
