Modified double-tract reconstruction operation in early SiewertⅡ esophagogastric junction adenocarcinoma
10.3760/cma.j.cn113855-20210830-00523
- VernacularTitle:双通道重建改良术式在早期SiewertⅡ型食管胃结合部腺癌中的应用
- Author:
Yuchao MA
1
;
Yanyang SONG
;
Jianhong DONG
;
Wanhong ZHANG
;
Linjie LI
Author Information
1. 山西医科大学第二临床医学院，太原 030000
- Keywords:
Esophagogastric reflux;
Adenocarinoma;
Jejunal interposition
- From:
Chinese Journal of General Surgery
2022;37(2):90-93
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and efficiency of a modified double-tract reconstruction procedure─proximal gastrectomy with piggyback interposed jejunal single-channel reconstruction (PJIR-STR) for early SiewertⅡ adenocarcinoma of esophagogastric junction (AEG).Method:Data of 8 SiewertⅡ AEG patients at Shanxi Tumor Hospital and undergoing PJIR-STR from May 2018 to Oct 2019 were retrospectively analyzed. The gastroesophageal reflux disease questionnaire (GerdQ) was used to score the patients at 3, 6, 12, and 18 months after surgery. The severity of postoperative reflux esophagitis was assessed by gastroscopy at 3, 6 months after surgery, using the Los Angeles Classification criteria.Result:All patients recovered well after surgery without serious complications. No obvious gastroesophageal reflux was observed in all patients at different periods (All of the GerdQ scores were <8 points.) The results of gastroscopy showed that 1 patient was diagnosed as grade B reflux esophagitis at 3, 6 months after surgery, which was responsive to conservative treatment, and the other 7 patients had no grade B or above reflux esophagitis.Conclusion:PJIR-STR is a feasible, safe reconstruction with excellent efficiency of dual anti-reflux for the SiewertⅡ AEG.
