Effect of semi-embedded valve anastomosis on anti-reflux after proximal gastrectomy for esophagogastric junction cancer / 中华普通外科杂志

ABSTRACT

Objective:To prevent postoperative reflux symptoms in patients undergoing proximal gastrectomy for esophagogastric junction cancer by using a new method of anti-reflux anastomosis.Methods:The clinical data of 15 patients with esophagogastric junction cancer at Department of Gastrointestinal Surgery , Second Hospital of Hebei Medical University from Jan 2018 to Apr 2019 were analyzed, and a new method of anti-reflux anastomosis was used to compare the difference of reflux between preoperative and postoperative status.Results:All patients recovered well after operation, 2 patients suffered moderate swallow disturbance after one month of operation, and the symptoms disappeared by gastroscope anastomosis dilation. The scores of reflux disease questionnaire before and after operation were in accordance with normal distribution (16 ±12 vs. 10 ±4, t=1.877, P=0.081), the results showed that there was no significant difference. Conclusion:This new method of anti-reflux anastomosis has a definite anti-reflux effect on postoperative patients with esophagogastric junction cancer.