The Control Effect on Postoperative GER Disease of Tubular Esophagus Stomach Anastomosis and Traditional Full Stomach Esophagus Anastomosis

Yang You Tong; Ru Yu Hang; Wang Kun; Hao Fan

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Yang You Tong , Ru Yu Hang , Wang Kun , Hao Fan . The Control Effect on Postoperative GER Disease of Tubular Esophagus Stomach Anastomosis and Traditional Full Stomach Esophagus Anastomosis[J]. Journal of Kunming Medical University, 2016, 37(12): 51-56.

Citation:

Yang You Tong , Ru Yu Hang , Wang Kun , Hao Fan . The Control Effect on Postoperative GER Disease of Tubular Esophagus Stomach Anastomosis and Traditional Full Stomach Esophagus Anastomosis[J]. Journal of Kunming Medical University, 2016, 37(12): 51-56.

Citation:

Yang You Tong , Ru Yu Hang , Wang Kun , Hao Fan . The Control Effect on Postoperative GER Disease of Tubular Esophagus Stomach Anastomosis and Traditional Full Stomach Esophagus Anastomosis[J]. Journal of Kunming Medical University, 2016, 37(12): 51-56.

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The Control Effect on Postoperative GER Disease of Tubular Esophagus Stomach Anastomosis and Traditional Full Stomach Esophagus Anastomosis

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基金：国家临床重点专科基金资助项目(国家中医药办医政函2013[48]);

Received Date: 2016-09-12

Abstract

Abstract

Objective To compare the control effect on postoperative GER disease between tubular EC stomach esophagus anastomosis and the traditional full stomach esophagus anastomosis.Methods From September2010 to October 2015 in Bozhou People's Hospital, 85 patients diagnosed with esophageal cancer undergoing elective resection were randomly divided into a tubular stomach EC group(45 cases) and total gastrectomy group(40 cases), two patients underwent esophageal resection, wherein the tubular stomach set of rows of tubular esophagus stomach anastomosis, total gastrectomy group underwent conventional full stomach esophagus anastomosis.After the surgery until the patient to return to normal gastrointestinal function uses dynamic monitor its p H 24 h esophageal p H monitoring chamber,the other respectively after 1 March using RDQ Scale GER-relatedsymptoms in patients with score, at the same time Statistics after 1 March of the occurrence of GER.Results There were no deaths occurred,and no occurrence of postoperative anastomotic fistula and thoracic gastric emptying dysfunction,etc;the two groups were almost reached full monitoring 24 h, and between groups while monitoring the total time,Li position monitoring time,there was no significant supine monitoring time(P>0.05);24 h reflux episodes long tubular gastric reflux group and significantly less than the number of total gastrectomy group, the longest duration of reflux and p H value <4.00 The cumulative time was significantly shorter in total gastrectomy group,De Meester scores were significantly lower than the total gastrectomy group,between groups were statistically significant(P<0.01);postoperative gastric tube 1,March RDQ score and incidence of GER significantly lower than the total gastrectomy group, between groups were statistically significant(P<0.01 or P<0.05).Conclusion Tubular stomach esophagus anastomosis compared with conventional full stomach esophagus anastomosis resection of esophageal cancer has a more ideal GER disease control effect, and can provide a reference for the choice of nastomosis ways for patients with esophageal cancer surgery.
- EC,
- GER,
- Tubular stomach esophagus anastomosis,
- Full stomach esophagus anastomosis

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References(28)

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