Efficacy of two types of anastomosis for the reconstruction digestive tract

Objective To investigate the efficacy of Orr-type Roux-en-Y jejunal anastomosis and Moynihan anastomosis for the reconstruction digestive tract after total gastrectomy.Methods From November 2011to March2013,a total of 184patients receiving total gastrectomy were randomly divided into group A and group B with 92cases in each group.Patients in group A were treated by Orr-type Roux-en-Y jejunal anastomosis,and patients in group B were treated by Moynihan anastomosis.Condition of surgery,postoperative complications and long-term survival of patients in the two groups were statistically analyzed.Results The operative time in group A was(172.4±12.2)min,which was significantly shorter than the(198.1±14.7)min in group B(P0.05).During the follow-up of 6months,reflux esophagitis occurred in 12patients of group B and 4patients of group A,and the difference was significant(P0.05),body weight of patients in group A decreased for(6.3±2.8)kg,lower than the(7.9±3.0)kg in group B,and albumin level in group A was(29.7±6.4)g/L,higher than the(24.5±5.3)g/L in group B(P0.05).Conclusion Application of Orr-type Roux-en-Y jejunal anastomosis for the for the reconstruction of digestive tract might be easy for operation,and with less complications and promotion of nutritional recovery,which could be worthy of clinical application.