Choice and consideration of digestive tract reconstruction after total gastrectomy and proximal gastrectomy
10.3760/cma.j.cn115610-20210324-00145
- VernacularTitle:全胃切除与近端胃切除术后消化道重建方式的选择与思考
- Author:
Leping LI
1
;
Huaiping CUI
;
Liang SHANG
Author Information
1. 山东省立医院胃肠外科 山东省消化肿瘤转化医学工程实验室，济南 250021
- Keywords:
Gastric neoplasms;
Total gastrectomy;
Proximal gastrectomy;
Digestive tract reconstruction;
Surgical procedures;
Consideration
- From:
Chinese Journal of Digestive Surgery
2021;20(6):643-647
- CountryChina
- Language:Chinese
-
Abstract:
At present, the surgical treatment of upper gastric cancer, including esophago-gastric junction cancer, mainly includes the total gastrectomy and proximal gastrectomy. After total gastrectomy, the reconstruction of digestive tract is completed through the anastomosis of esophagus and jejunum. Patients undergoing total gastrectomy often face the risk of poor eating effect and malnutrition. Compared with total gastrectomy, the proximal gastrectomy can preserve part of the gastric tissue, but due to the loss of the normal physiological structure of the cardia, patients have a higher risk of postoperative reflux. In order to solve the problem of reflux, there are many improved operation methods of digestive tract reconstruction after proximal gastrectomy. At present, the choice of total gastrectomy or proximal gastrectomy and the operation methods of digestive tract reconstruction is still controversial. Because of the lack of sufficient theoretical research support. The authors comb the research progress and consider the concept and method of digestive tract reconstruction after total gastrectomy and proximal gastrectomy, in order to provide theoretical basis for clinical work.
