Efficacy comparation of two digestive tract reconstruction methods after total gastrectomy of gastric cancer

Objective: To investigate the efficacy of two digestive tract reconstruction methods after total gastrectomy of gastric cancer.Methods: 110 patients of gastric cancer in our hospital from October 2003 to March 2008 were devded into Orr group(60 cases were treated by Orr-type Roux-en-Y jejunal anastomosis) and Moynihan group(50 cases were treated by Moynihan anastomosis);surgery,postoperative complications,and long-term survival were compared.Results: the dif ference of operative mortality,survival rate in two groups had no significant(P0.05),but reflux esophagitis of Orr group(3.0%) was significantly less than Moynihan group(66%),and there were significantly differences(χ2=19.713,P0.05).Orr was easy to operate and operation time [(175±10)min] was significantly short than Moynihan group [(198±15)min],and the dif-ference was statistically significant(t=8.236,P0.05).Conclusion: Orr-type Roux-en-Y jejunal esophageal anastomosis for reconstruction after gastric resection is easy to operate with few complications,and it is an appropriate method of diges-tive tract reconstruction.