Option of anti-reflux digestive tract reconstruction after proximal gastrectomy
10.3760/cma.j.cn115610-20200803-00527
- VernacularTitle:近端胃切除术抗反流消化道重建方式的选择
- Author:
Zekuan XU
1
;
Zhongyuan HE
;
Linjun WANG
Author Information
1. 南京医科大学第一附属医院胃肠外科中心 210029
- From:
Chinese Journal of Digestive Surgery
2020;19(9):935-940
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of proximal gastric cancer and esophagogastric junction cancer have increased gradually worldwide. At present, total gastrectomy is still the most commonly used method for the treatment of proximal gastric cancer and esophagogastric junction cancer. However, total gastrectomy inevitably leads to postoperative nutritional and metabolic disorders. The nutritional status of patients after proximal gastrectomy is better than that of total gastrectomy due to the preservation of partial gastric function. With the increase in the detection rates of early gastric cancer and esophagogastric junction cancer and the deepening understanding of lymph node metastasis, proximal gastrectomy has been received more attention and applied in more and more cases. Traditional esophagogastrostomy may cause severe reflux esophagitis. To overcome it, various kinds of anti-reflux digestive tract reconstructions after proximal gastrectomy have been created. Based on the relevant literature and combined with their practical experience, the authors summarize the progress in anti-reflux digestive tract reconstruction after proximal gastrectomy, in order to provide reference for choosing optimal reconstruction methods.
