Abstract:
Esophagogastric end to end anastomosis is the most common method for digestive tract reconstruction after proximal subtotal gastrectomy, while patients often suffered from postoperative reflux esophagitis due to the injury of the anti reflux structure. Tubular stomach with esophagogastric anterior wall end to side anastomosis combined with phloroplasty reduces postoperative gastroesophageal reflux because it functions for food storage and digestion. Jejunal interposition can effectively prevent gastroesophageal reflux, and continual jejunal interposition has advantages of convenience and safety. One patient with gastric adenocarcinoma and 1 with gastric stromal tumor received proximal subtotal gastrectomy at the Cancer Hospital of Tianjin Medical University. Tubular stomach and continual jejunal interposition were applied after gastrectomy. The 2 patients recovered uneventfully, no digestive complications were detected.