Abstract:ObjectiveTo explore the clinical effect of reconstructing digestive tract if different ways after total gastrectomy in patients with gastric cancer.MethodsA total of 100 patients with gastric cancer were selected for this study.All patients were hospitalized from January 2016 to October 2017 and treated with total gastrectomy.After surgery,they were equally divided into observation group and control group by a random number table method.In the observation group,P-shape jejunum pan jejunum esophagus Roux-en-Y anastomosis was used for gastrointestinal reconstruction.In the control group,Moynihan anastomosis for reconstruction of the digestive tract was adopted.The nutritional status and complications of the patients after the two reconstructions were observed.The half-year quality of life in these participants after surgery by the relevant scale was comarped.ResultsThere was no significant difference in the time of gastrointestinal reconstruction between the two groups(P>0.05).The levels of nutritional indexes such as hemoglobin,albumin,and total protein in the observation group were significantly higher than those in the control group.The average score of quality of life was higher in the observation group than the control group with statistical significance(P<0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group with a statistical difference(P<0.05).ConclusionFor patients with gastric cancer after total gastrectomy,the risk of complications by P-shape jejunum pan jejunum esophagus Roux-en-Y anastomosis for gastrointestinal reconstruction is lower,which can effectively improve the nutritional status and quality of life compared with Moynihan anastomosis,so P-shape jejunum pan jejunum esophagus Roux-en-Y anastomosis has a good promotion value.
白少华;朱小明;陈干涛. 胃癌患者胃切除后消化道重建手术效果研究[J]. 中国当代医药, 2018, 25(18): 49-51.
BAI Shao-hua;ZHU Xiao-ming;CHEN Gan-tao. Research on the effect of gastrointestinal reconstruction after gastrectomy in patients with gastric cancer. 中国当代医药, 2018, 25(18): 49-51.