Effect of tubular gastric anastomosis on gastric emptying dysfunction and reflux esophagitis after radical gastrectomy / 中国医师进修杂志

ABSTRACT

Objective To investigate the effect of tubular gastric anastomosis on delayed gastric emptying and reflux esophagitis after radical gastrectomy. Methods From January 2014 to June 2017, 142 patients with radical gastrectomy were selected from our hospital. The patients were divided into observation group (71 cases) and control group (71 cases) according to the mode of anastomosis. In the control group, the residual stomach and esophagus were directly anastomosed with anastomat, and in the observation group patients were treated with tubular gastric anastomosis after operation. The postoperative exhaust time, operation time and hospital stay, postoperative infection and abdominal bleeding, postoperative reflux esophagitis and postoperative gastric emptying disorder were compared between the two groups. Results Postoperative exhaust time, operation time and postoperative hospitalization time showed no significant difference in two groups of patients (P>0.05); the incidence rate of reflux esophagitis in observation group was more than that in the control group 29.58％(21/71) vs. 47.89％(34/71) (P<0.05);the postoperative gastric emptying rate in observation group was more than that in the control group4.23％(3/71) vs. 19.72％(14/71) (P<0.01). Conclusions Tubular gastric anastomosis can significantly reduce the gastric emptying disorder and reflux esophagitis after radical gastrectomy, which is worthy of further clinical study.