Comparative study of digestive reconstruction after total gastrectomy

Aim To investigate the rational digestive reconstruction after total gastrectomy for gastric malignancy.Methods Three types of digestive reconstruction were performed after total gastrectomy in 76 cases with gastric carcinoma.The operating time,morbidity and mortality,digestive tract symptoms,nutritional status in 1 year after operation were compared.Results There are no significant differences among the three procedures in operative morbidity and mortality,postoperative food intake,nutritional status,incidences of diarrhea and dumping syndrome.Roux-en-Y esophajejunostomy and P-type esophajejunostomy have an advantage of anti-esophageal reflux,and are obviously superior to Lahey+Braun anastomosis.Roux-en-Y esophajejunostomy is simpler with shorter operating time and less complication.Conclusion Roux-en-Y esophajejunostomy and P-type esophajejunostomy can be recommended as suitable methods for digestive reconstruction after total gastrectomy.