Abstract:
Objective To compare the condition of gastroesophageal reflux disease(GERD) after two types of surgeries for Siewert Ⅱ/Ⅲ type gastroesophageal junction adenocarcinoma.
Methods From January 2013 to December 2014, patients in Affilated Hua Run General Hospital of Wuhan Steal Company, diagnosed as Siewert Ⅱ/Ⅲ type AEG were randomly divided into two groups. Group A, laparoscopic resection of the proximal part of the stomach + esophagus residual anastomosis + pyloroplasty; group B, laparoscopic gastrectomy + esophagus jejunum Roux-en-Y surgery, by monitoring gastrointestinal drainage volume, esophageal pH value, burning pain under sternum, bile vomiting, weight loss and a series of clinical symptoms, two groups of patients with reflux esophagitis were compared.
Results Postoperative gastrointestinal drainage was significantly lower in group B than in group A (P<0.05), the total amount of time for postoperative esophageal pH<4 was less in group B than in group A (P<0.05). One week after surgery, postoperative epigastric burning pain, weight loss compared with preoperative condition, bilious vomiting, and reflux esophagitis incidence in group B were significantly lower than in group A (9.1% vs.63.6%, P<0.05) .
Conclusion Group B is superior to group A in gastrointestinal drainage volume, esophageal pH value, and the incidence of adverse reactions.
Key words:
SiewertⅡ/Ⅲtype,
Gastroesophageal junction adenocarcinoma,
Gastroesophageal reflux disease
Bing Qu, Bin Ren, Bingsong Lei, Hong Yan, Hui Hu, Zhi Zhang. Comparative study on condition of gastroesophageal reflux disease after two types of surgeries for Siewert Ⅱ/Ⅲ type gastroesophageal junction adenocarcinoma[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2015, 02(03): 131-134.