ABSTRACT
After having studied both the advantages and disadvantages of various reconstructive operations, an improved reconstructive operation, i.e. ileo-colon replacement of esophagus, stomach and cardia was performed to avoid regurgitation esophagitis after cardiectomy in gastric cardiac cancer. Twenty patients underwent such reconstructive operation. Clinical observation and measurement of intraluminal pressure in the upper digestive tract before and after operation showed that this kind of operation gave satisfactory short-term results, not only avoiding the regurgitation, but increasing the radical resection rate, reducing the other postoperative complications and improving the diet quantity intake also. This reconstructive operation is better than the traditional routine method and worthy of extensive use. Preparations before, during and after the operation, cooperation in manipulation during the operation are described.