管状胃重建在Ⅱ、Ⅲ型食管胃结合部腺癌手术中的应用

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Abstract Objective To evaluate the clinical effect of tubular gastric reconstruction inⅡ,Ⅲtype gastric esophagus integration carcinoma operation. Methods 144 cases ofⅡ,Ⅲtype gastric esophagus integration carcinoma patients from December 2009 to December 2013 were divided into two groups by digestive tract reconstruction mode.Patients in traditional group（n＝76）were conducted esophagus-residual stomach anastomosis.Patients in tubular gastric group（n＝68）were conducted esophagus- tubular stomach anastomosis.The incidence rate of postoperative gastroesophageal reflux and reflux esophagitis were observed. Results Both of basic data and clinical pathological feature of patients in two groups had no statistical significance（P＞0.05）.35.5％patients had acid reflux symptoms after esophagus-residual stomach anastomosis in traditional group,16.1％patients appeared that after esophagus-tubular stomach anastomosis in tubular gastric group,the difference was statistically significant（P＝0.041）.22.3％patients were diagnosed as reflux esophagitis after esophagus-residual stomach anastomosis in traditional group,7.5％patients were diagnosed as reflux esophagitis after esophagus-tubular stomach anastomosis in tubular gastric group,the difference was statistically significant（P＝0.038）. Conclusion Comparing with esophagus-residual stomach anastomosis,esophagus- tubular stomach anastomosis can obvious alleviate acid reflux and reflux esophagitis of patients after operation and enhance life quality. It is worth to popularize in clinical.

Key words： Gastric esophagus integration carcinoma Siewert parting Digestive tract reconstruction Surgical operation

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