Application of double tract digestive reconstruction of jejunal interposition after proximal gastrectomy

Objective To design the ideal digestive reconstruction after proximal gastrectomy to prevent reflux esophagitis. Methods Thirty-six patients who underwent double tract digestive reconstruction of jejunal interposition during March 2007 and July 2008 at Jinjiang City Hospital of Fujian Province were analyzed retrospectively. Results No patient died and there was no annastomotic ledkage, dumping syndrome occurred during perioperative period. There was no differences of operating duration and the bleeding volume. Half year later, about ninety percent of patients could take about 200-400 g food at each meal (3 or 4 times a day). No severe reflux esophagitis was found by the gastroscopic examination, Eighty-nine percent of patients had not any syndrome of reflux esophagitis and their body weight approached to the preoperative level. Conclusion Double tract digestive reconstruction of jejunal interposition has several advantages including less reflux esophagitis, the higher quality of life, the higher acceptance of chemotherapy. It is a ideal digestive reconstruction after proximal gastrectomy.