Value of intestinal tract reconstruction by Roux-en-Y and jejunal nterposition after total gastric resection

Objective To investigate the clinical value of intestinal tract reconstruction by Roux-en-Y and jejunal nterposition after total gastric resection. Methods 60 cases were selected and randomly divided into two groups,with 30cases in each group.Patients in Roux-en-Y group were given operation of Roux-en-Y,and patients in jejunal nterposi-tion group were given operation of jejunal nterposition.All the patients were followed up for 2 years,and comparison be-tween two groups was conducted on nutritional status in 1 year after operation and complications occurred in follow-up period for 2 years. Results In jejunal nterposition group,albumin,hemoglobin and weight in 1 year after operation had no significant change compared with that before operation(P 0.05).And they were higher than that in Roux-en-Y group(P0.05).Albumin,hemoglobin and weight in 1 year after operation in Roux-en-Y group were lower than that be-fore operation(P0.05).The incidence rate of flatulence,anorexia,diarrhea and reflux esophagitis in jejunal nterposition group were significantly lower than that in Roux-en-Y group(P0.05). Conclusion Jejunal nterposition effectively retain the function of intestinal tract,especially the duodenum.It has a great significance in ensuring the normal function of digestive tract and improving postoperative nutrition of patients.And it can reduce postoperative complications.So it is a relatively ideal surgery.