Effect of two different total gastrectomy on postoperative reflux esophagitis in patients with upper or middle gastric cancer

doi:10.3877/cma.j.issn.2095-8765.2018.03.002

Abstract

Abstract:

Objective

To investigate the effect of total gastrectomy Roux-en-Y anastomosis and total gastrectomy Stacked anastomosis and Braun's anastomosis on reflux esophagitis by comparing two different total gastrectomy.

Methods

The clinical data of total gastrectomy in 80 patients with gastric cancer admitted to People's Hospital of Xinjiang Uyghur Autonomous Region from August 2015 to January 2017 were retrospectively analyzed. The incidence of reflux esophagitis within one year after follow-up was retrospectively analyzed.

Results

The rate of reflux esophagitis was 14.3% in the total gastrectomy Roux-en-Y anastomosis group, which was significantly higher than that of Stacked anastomosis and Braun's anastomosis (55.3%) due to total gastrectomy (χ²=7.372, P<0.05).

Conclusion

Total gastrectomy of Roux-en-Y anastomosis maybe reduce the possible of postoperative reflux esophagitis.

Key words: Gastric cancer, Total gastrectomy, Esophagitis, Reflux

Peng Li, Li Tao, Nuermaimaiti Sikandeer·. Effect of two different total gastrectomy on postoperative reflux esophagitis in patients with upper or middle gastric cancer[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2018, 05(03): 102-104.

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URL: https://zhwsgflbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-8765.2018.03.002

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Figures/Tables 1

References 12

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?		例数	试验组（42例）	对照组（38例）	χ²值	P值
性别		?	?	?	0.067	0.210
?	男性	43	22	21	?	?
?	女性	37	20	17	?	?
年龄		?	?	?	1.042	0.181
?	≥60岁	41	21	20	?	?
?	<60岁	39	21	18	?	?
肿瘤分期		?	?	?	0.115	0.734
?	ⅡIIA期	12	6	6	?	?
?	ⅡIIB期	21	12	9	?	?
?	ⅢIIIA期	32	18	14	?	?
?	ⅢIIIB期	9	3	6	?	?
?	ⅢIIIC期	6	3	3	?	?
细胞分化程度		?	?	?	0.208	0.836
?	高分化	12	7	5	?	?
?	中分化	45	22	23	?	?
?	低分化	20	12	8	?	?
?	未分化	3	1	2	?	?
反流性食管炎		?	?	?	7.372	0.007^a
?	有	27	6	21	?	?
?	无	53	36	17	?	?
Visick分级		?	?	?	0.172	0.678
?	ⅠI级	53	36	17	?	?
?	ⅡII级	6	2	4	?	?
?	ⅢIII级	12	3	9	?	?
?	ⅣIV级	9	1	8	?	?
胃镜Savary-Miller分级		?	?	?	0.464	0.496
?	ⅠI级	12	4	8	?	?
?	ⅡII级	7	1	6	?	?
?	ⅢIII级	0	0	0	?	?
?	ⅣIV级	0	0	0	?	?

?		例数	试验组（42例）	对照组（38例）	χ²值	P值
性别		?	?	?	0.067	0.210
?	男性	43	22	21	?	?
?	女性	37	20	17	?	?
年龄		?	?	?	1.042	0.181
?	≥60岁	41	21	20	?	?
?	<60岁	39	21	18	?	?
肿瘤分期		?	?	?	0.115	0.734
?	ⅡIIA期	12	6	6	?	?
?	ⅡIIB期	21	12	9	?	?
?	ⅢIIIA期	32	18	14	?	?
?	ⅢIIIB期	9	3	6	?	?
?	ⅢIIIC期	6	3	3	?	?
细胞分化程度		?	?	?	0.208	0.836
?	高分化	12	7	5	?	?
?	中分化	45	22	23	?	?
?	低分化	20	12	8	?	?
?	未分化	3	1	2	?	?
反流性食管炎		?	?	?	7.372	0.007^a
?	有	27	6	21	?	?
?	无	53	36	17	?	?
Visick分级		?	?	?	0.172	0.678
?	ⅠI级	53	36	17	?	?
?	ⅡII级	6	2	4	?	?
?	ⅢIII级	12	3	9	?	?
?	ⅣIV级	9	1	8	?	?
胃镜Savary-Miller分级		?	?	?	0.464	0.496
?	ⅠI级	12	4	8	?	?
?	ⅡII级	7	1	6	?	?
?	ⅢIII级	0	0	0	?	?
?	ⅣIV级	0	0	0	?	?

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