Effect of three different digestive tract reconstruction on patient′s living quality after total gastrectomy for gastric carcinoma

Objective To investigate the effect of three different digestive tract reconstruction on patient′s living quality after total gastrectomy for gastric tumors. MethodsFrom May 1994 to May 2004, three different types of digestive tract reconstruction were adopted in 96 cases of total gastrectomy. The complications, body weight, hemoglobin, total protein, albumin in serum at 2 week and 2 months post operation as well as nutrition, symptoms were analyzed. Results “6” type esophagojejunostomy was characteristic of higher complication rate compared with P-type group and Orr-type group (11% vs 0% vs 2.1%). Patients′ body weight, hemoglobin, total protein and albumin were significantly lower in Orr-type group than P-type group(P0.05) and 6 type group(P0.05). Patients in Orr-type group suffered from higher rate of reflux esophagitis(7%,0%,0%),dumping syndrome (60%,4%,0%) and malnutrition(20%,0%,0%) than P-type group and “6” type group. Conclusions P-type Roux-en-Y esophagojejunostomy is a procedure of choice for digestive tract reconstruction after total gastrectomy for patients with gastric tumors, in terms of better postoperative living quality and better nutrition state.