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贲门癌行胃次全和胃全切除重建消化道,常用的方法是食道与空肠Roux-en-Y吻合,十二指肠与食道吻合,或将近侧胃大部切除后用远侧残胃与食道吻合等。这些方法虽然有胃的部分生理功能,但返流性食道炎的病例已是最明显的并发症。为了预防返流性食管炎,我们自1981年11月至1984年10月对贲门癌病例采用空肠插入术来重建消化道,现将35例分析如下。临床资料本组男性30例,女性5例。年龄20～74岁,平均为54岁。癌肿分期(按北京肿瘤研究所分期):Ⅰ期2例(5.7％),Ⅱ期5例(14.3％),Ⅲ期21例(60.0
Gastric cancer with gastric cancer subtotal gastrectomy and total resection of the digestive tract, the common method is the esophagus and Roux-en-Y anastomosis, duodenal and esophageal anastomosis, or the proximal gastric resection with distal remnant stomach and Esophageal anastomosis. Although these methods have some physiological functions of the stomach, the cases of reflux esophagitis are the most obvious complications. In order to prevent reflux esophagitis, we used jejunostomy to reconstruct the digestive tract in cases of cardiac cancer from November 1981 to October 1984. We now analyze 35 cases as follows. The clinical data of this group were 30 males and 5 females. Age 20 to 74 years old, average 54 years old. Stages of cancer (according to Beijing Cancer Institute staging): 2 cases (5.7%) in stage I, 5 cases (14.3%) in stage II, 21 cases in stage III (60.0)