Clinical discussion of residual gastrojejunostomy in prevention of reflux esophagitis after cardiac carcinoma surgery

Objective To discuss the clinical effect of residual gastrojejunostomy in prevention of reflux esophagitis after radical proximal subtotal gastrectomy due to cardiac carcinoma. Methods 70 patients with cardiac carcinoma undergone radical proximal subtotal gastrectomy were evenly divided into control group with pyloroplasty and observation group with residual gastrojejunostomy.After surgery, the clinical manifestations of reflux esophagitis were observed.Results The reflux esophagitis occurred in 15 cases of control group and 2 cases in the observation group, the differ-ence between two groups was significant(P0.01). The postoperative complications occurred in the observation group were fewer than those in the control group. Conclusion In prevention of reflux esophagitis, the effect of radical proximal subtotal gastrectomy with residual gastrojejunostomy is remarkable, which is simple and safe, and worthy of expansion in clinic.