关键词: 食管胃结合部, 胃肠间质瘤, 消化道重建

Abstract:

Choices and evaluation of digestive tract reconstruction for patients with gastrointestinal stromal tumor of esophagogastric junction        LIANG Han. Department of Gastric Cancer Surgery, Tianjin Medical University Cancer Institute & Hospital; National Clinical Research Center for Cancer, Tianjin 300060,China
Abstract    Local resection and proximal gastrectomy are the main choices for gastrointestinal stromal tumor which located in esophagogastric junction. The prerequisite for local resection is safety margin and preserving of the Zigzag line. The reconstruction after proximal gastrectomy includes esophagus-gastric tube anastomosis, among which patients with esophagogastric tube anterior wall anastomosis provides good effect to prevent reflux symptoms; Kamikawa procedure with double flap technique which is considered a promising approach to the prevention of reflux after esophagogastectomy; jejunal interposition maybe a good candidate for reconstruction and uncut interposition can simplify the procedure; double-tract reconstruction is a common procedure which can prevent postoperative anemia and vitamin B12 deficiency.

Key words: esophagogastric junction, gastrointestinal stromal tumor, digestive tract reconstruction