Abstract:
Objective To evaluate the clinical effect of three digestive tract reconstruction methods after radical resection of adenocarcinoma of esophagogastric junction（AEG）.
Methods The clinical data of 60 patients with AEG admitted to our hospital from January 2018 to December 2020 were prospectively included. The patients were randomly divided into group A，group B and group C，each of 20 cases. Proximal gastrectomy was performed in all three groups. Group A was treated with esophagogastric anastomosis，group B was treated with tubular gastric anastomosis，and group C was treated with double channel anastomosis. The data were processed by SPSS 22.0.The perioperative indexes and postoperative nutritional status indexes were expressed by（
±
s）. The comparison between multiple groups was analyzed by
One-Way ANOVA，the comparison between the two groups was performed by
LSD-t test，and the comparison within the group was performed by paired
t test；Postoperative complications were counted by
χ2 test.
P<0.05 was statistically significant.
Results The operation time and anastomosis time in groups A and B were significantly lower than those in group C（P<0.05）. The incidence of postoperative reflux esophagitis in groups B and C was significantly lower than that in group A（10.0% vs. 5.0% vs. 40.0%，P<0.05）. The nutritional indexes of serum hemoglobin（Hb），total protein（TP），albumin（ALB）and BMI at 6 months after operation were significantly lower than those before operation（P<0.05），and the nutritional indexes in group C were significantly higher than those in groups A and B（P<0.05）.
Conclusion AEG radical gastrectomy with tubular gastric anastomosis and double-channel anastomosis has more significant anti-reflux effect. Although double-channel anastomosis prolongs the operation time，it does not increase the risk of postoperative anastomotic stenosis，and is more conducive to postoperative nutritional recovery of patients，with more obvious advantages.
Key words:
Adenocarcinoma of esophagogastric junction,
Digestive tract reconstruction,
Proximal gastrectomy,
Anastomosis，surgical
Qingtao Zou, Hongzhen Zhang, Zuowen Yin, Jun Yu, Peng Zhang. Clinical evaluation of three digestive tract reconstruction methods after radical resection of adenocarcinoma of esophagogastric junction[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(05): 545-548.