Clinical effect research of modified double pouch Roux-en-Y reconstruction after radical total gastrectomy             ZHAO Yu-zhou，HAN Guang-sen，REN Ying-kun，et al. Henan Tumor Hospital，Zhengzhou 450003，China
Corresponding author：HAN Guang-sen，E-mail：hnhanguangsen@126.com
Abstract    Objective    To introduce a new method of reconstruction of the gastrointestinal tract in radical total gastrectomy, and compare the effects with loop and Roux-en-Y anastomosis. Methods    From May 2008 to March 2010, 106 patients who underwent radical total gastrectomy for gastric cancer in Department of General Surgery of Henan Tumor Hospital were randomly divided into 3 groups：Modified double pouch Roux-en-Y group, loop group and Roux-en-Y group. The operation time, postoperative complications, hospital expenses and hospital stay in the 3 groups were compared. The Quality of Life Questionnaire of Stomach 22 was analyzed in 1, 6 and 12 months after operation respectively. Results    There was no significant difference between modified double pouch Roux-en-Y group and other two groups in operation time, postoperative complication, hospital expenses and hospital stay. The modified double pouch Roux-en-Y group showed a better score in dysphagia, pain, hiccup and drink and food limitation than other two groups. Conclusion    The modified double pouch Roux-en-Y method is a safe method of reconstruction of the gastrointestinal tract and has a better quality of life.