Two kinds of gastric cancer after total gastrectomy comparison of surgical reconstruction of digestive tract

Objective:To investigate the P-type jejunal loop esophagus jejunum Roux-en-Y anastomosis and improve the jejunal on behalf of the gastric surgery(mPJIP) of two different surgical reconstruction of digestive tract of clini cal efficacy,and postoperative two kinds of surgical results for statistical analysis.Methods:The gastric cancer patients with total gastrectomy total of 146 cases were randomly divided into two groups:P-type jejunal loop esophagus jejunum Roux-en-Y anastomosis(PRY) group of 72 patients and improve the jejunal on behalf of the gastric surgery(mPJIP) group of 74 cases.Comparison of two groups of patients with operative time,surgical complications,the number of cases and death cases of the number of indicators of change in postoperative nutrition postoperative quality of life changes.Results:Improved jejunal on behalf of the gastric surgery group and the P-type jejunal loop esophagus jejunum Roux-en-Y anastomosis group operative time(h),respectively(3.6±0.2) and(3.3±0.1),P0.05;died a few cases were two cases(2.8%) and 1 case(1.4%),the difference was significant.Changes in weight,total protein changes in the mPJIP prognos tic nutritional index was significantly better than the PRY group,the difference was statistically significant.In the Roux re tention syndrome(roux stasis syndrome,RSS) with a few(rate%) on,mPJIP group was significantly better than the PRY group,P0.01,the difference was statistically significant;PRY group and mPJIP postoperative reflux esophagitis occurrence num ber and Cuschieri classification comparison,the difference was not statistically significant(P0.05).Conclusion:The modified P-shaped jejunal on behalf of the gastric surgery(mPJIP) can reduce the total gastrectomy the incidence of postoperative complications,mortality,effectively prevent reflux esophagitis incidence and improve patient quality of life,it is more rea sonable reconstruction of the digestive tract for the total gastrectomy of gastric cancer,with a good clinical value.