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[Comparison of two reconstruction methods of alimentary canal after total gastrectomy]
1Department of General Surgery, Shanghai 7th Peoples Hospital, Shanghai 200137, China. Yangpm@hotmail.com
Objective:
To evaluate the clinical value of two alimentary reconstruction methods after total gastrectomy for gastric cancer.
Methods:
Thirty- one patients undergoing total gastrectomy for gastric cancer were prospectively randomly divided into two groups: single-canal jejunum interposition (n=16, group A) and P pouch with Roux-en-Y esophagojejunostomy (n=15, group B). All patients were followed up for one year. The serum nutritional parameters,body weight change and clinical effects between the two groups were compared.
Results:
Both of the reconstruction types had the replacement of gastric function. The hemoglobin level was (102+/- 11)g/L, the total protein level (6.8+/- 3.9)g/L, and the body weight loss (1.0+/- 1.7)kg in group A, while (98+/- 12)g/L, (6.3+/- 3.0)g/L and (4.0+/- 2.3)kg in group B. There were significant differences between the two groups (all P< 0.05).
Conclusion:
The single-canal jejunum interposition reconstruction after total gastrectomy (Henley) is a better surgical method.
