目的　探讨模拟生理状态下贲门胃底结构 ,行食管胃弓上吻合术以减少术后并发症。方法　使胃体平置于胸腔 ,食管黏膜与胃黏膜吻合 ,浆肌层包埋 ,小弯侧缝缩 ,大弯侧胃底向胸膜顶高处悬吊 ,使吻合口区黏膜呈乳头状置入胃腔内形成 His角 ,此时吻合口上方已形成生理性高压区。结果　 92 8例术后感觉良好 ,无吞咽及进食后不适。结论　食管胃黏膜乳头状吻合贲门胃底重建术可有效地减少吻合口并发症 ,提高生存质量 Objective To investigate the gastric cardia fundus structure under simulated physiological conditions and perform esophagogastric anastomosis to reduce postoperative complications. Methods The gastric body was placed in the chest, the esophageal mucosa was anastomosed with the gastric mucosa, the myometrial layer was embedded, the lesser curvature side was sutured, the greater curvature side of the stomach fundus was suspended to the top of the pleura and the anastomotic mucosa was papillary Into the stomach cavity formed His angle, this time above the anastomotic physiological pressure zone has been formed. Results Eighty-eight patients felt good after surgery without swallowing and discomfort after eating. Conclusion Esophageal and gastric mucosal papillary anastomosis cardia fundus reconstruction can effectively reduce the complications of anastomosis and improve the quality of life