Evaluation on lift quality after digestive tract reconstruction of three kinds of total gastrectomy

Objective To evaluate the effect on lift quality after digestive tract reconstructian of three kinds of total gastrectomy and investigate the reasonable reconstructed manner of digestive tract. Methods From Jan 1994 to Jan 2004,three kinds of digestive tract reconstruction were performed in 96 cases with total gastrectomy.It was compared to operative complications,nutritive index 2 weeks and 2 months after operation,dietary status and digestive symptoms.Results Among three kinds of digestive tract reconstruction,the postoperative complication rates were most high in the operation of 6 figure type.In the dumping syndrome and regurgitated esophagitis rates,the Orr′s type was obviously higher than that P type and 6 figure type and there was no difference in the P type and 6 figure type.Orr type group was obviously lower than that P type group and 6 figure group in the body weight,total protein,albumin and hemoglobin 2 weeks and 2 months after operation.There was no significant difference in the P type group and 6 figure type group 2 weeks and 2 months after operation.Conclusion P type Roux-en-Y esophagojejunostomy posesses simple manipulation,a good postopera-tive nutritive status and a high quality of life.It is one of desirable operation manmer in the digestive tract reconstruction after total gastrectomy.