关键词: 胃肿瘤, 间置空肠, 双通道, 近端胃切除, 消化道重建

Abstract:

Application of double tract digestive reconstruction of jejunal interposition after proximal gastrectomy        LIU Wei-bo*, ZOU De-ling, HONG Tian-zi, et al. *Cancer Surgery, Jinjiang City Hospital of Fujian Province , Jinjiang 362200, China
Corresponding author：ZOU De-ling,E-mail：zoudeling4@163.com
Abstract    Objective    To design the ideal digestive reconstruction after proximal gastrectomy to prevent reflux esophagitis. Methods    Thirty-six patients who underwent double tract digestive reconstruction of jejunal interposition during March 2007 and July 2008 at Jinjiang City Hospital of Fujian Province were analyzed retrospectively. Results    No patient died and there was no annastomotic ledkage, dumping syndrome occurred during perioperative period. There was no differences of operating duration and the bleeding volume. Half year later, about ninety percent of patients could take about 200-400 g food at each meal (3 or 4 times a day). No severe reflux esophagitis was found by the gastroscopic examination, Eighty-nine percent of patients had not any syndrome of reflux esophagitis and their body weight approached to the preoperative level. Conclusion Double tract digestive reconstruction of jejunal interposition has several advantages including less reflux esophagitis, the higher quality of life, the higher acceptance of chemotherapy. It is a ideal digestive reconstruction after proximal gastrectomy.

Key words: stomach neoplasm, jejunal interposition, double tract, radical proximal gastrectomy, digestive reconstruction