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目的：观察保留幽门近全胃切除回结肠间置代胃术在近端胃癌外科治疗中的疗效。方法；对5例近端胃癌患者行保留幽门近全胃切除回结肠间置代胃术，术后行影像学、同位素99mTc－DTPA闪烁照像检查评价代胃功能。结果：间置回盲肠段具有食物贮存、良好的排空、抗返流功能。近期随访无返流性食管炎、倾倒综合征。结论：该术式用于近端胃癌有助于预防术后并发症和改善患者生存质量。
OBJECTIVE: To observe the curative effect of surgical treatment of proximal gastric cancer by preserving the pylorus and total excision of the gastrointestinal tract. Methods: Five patients with proximal gastric cancer underwent reserved pylorus and total gastrectomy and inter-colonic gastrostomy. Postoperative imaging and isotopic 99mTc-DTPA scintigraphy were performed to evaluate the function of the stomach. RESULTS: The intercalary ileocecal segment had food storage, good emptying, and anti-reflux function. In the recent follow-up, there was no reflux esophagitis or dumping syndrome. Conclusion: This surgical procedure is useful for the treatment of proximal gastric cancer to help prevent postoperative complications and improve the patient’s quality of life.