Curative effect assessment of different types of digestive tract reconstruction after total gastrectomy gastric cancers

Objective To investigate the impact of different types of gastrointestinal tract reconstruction on the quality of postoperative life of patients who received total gastrectomy for gastric cancers. Methods During January 1999 to January 2011, 632 patients with gastric cancer in our hospital received total gastrectomy, while different types of gastrointestinal tract reconstruction were performed such as P-loop Roux-en-Y-type, Orr-type, Roux-en-Y-type and Moynihan-type of gastrointestinal tract reconstruction. Clinical data were analyzed, including operation time, intraoperative blood loss,postoperative complications, mortality as well as the quality of life 6 months and 12 months after operation. Results Intraoperative blood loss, operative complications and mortality in the P-loop Roux-en-Y-type group showed no significant difference compared with other groups (P﹥0.05), but operation time showed significant difference (P0.05). In the Moynihan-type group, the incidence of reflux was significantly higher than that in other groups 6 months after operation (P0.05). In the Orr-type group, the epigastric sense of fullness was significantly higher than that in other groups (P0.05). In the P-loop Roux-en-Y-type group, the quantity of food intake, feeding frequency and feeding time were better than those in the Orr-type group and Moynihan-type group12 months after operation (P0.05). Conclusion P-loop Roux-en-Y-type anastomosis might be recommended froe reconstruction of the gastrointestinal tract after total gastrectomy for gastric cancer.