Comparative study on two types of digestive reconstruction after total gastrectomy for gastric cancer

Objective To explore the two types of digestive tract reconstruction after total gastrectomy in gastric carcinoma for improving survival and quality of the patients.Methods72 patients were divided into P loop/Roux-en-Y and Lahey's anastomosis.The degestive tract symptom and nutritional status were compared after surgery.ResultsWeight loss,decreased of total protein(TP) and hemoglobin(Hb) were less in P loop/Roux-en-Y group than those in Lahey group(P0.05).P loop/Roux-en-Y had an advantage of anti-esophageal refux and dumping syndrome.ConclusionP loop/Roux-en-Y is a better reconstruction procedure after total gastrectomy,which can improve postoperative quality of life and nutritional status.