Research progress of anti reflux digestive tract reconstruction for proximal gastrectomy
Journal Title: Journal of Surgery : Concepts & Practice - Year 2023, Vol 28, Issue 4
Abstract
The incidence rate of proximal gastric cancer in China and some Asian countries is increasing year by year. Surgery is the most effective and commonly used treatment for proximal gastric cancer. Traditional total gastrectomy has a good curative effect, but its complications, such as dystrophic metabolism and decreased quality of life, limited its use. In recent years, the proximal gastrectomy carried out clinically can remove tumor tissue and preserve part of gastric tissue, which is conducive to improving the postoperative nutritional status of patients. However, during proximal gastrectomy, the esophageal sphincter and His angle were damaged, resulting in residual gastric acid reflux and gastroesophageal reflux, resulting in reflux esophagitis, which also affected the quality of life of the patients. In order to solve these problems, surgeons have explored different digestive tract reconstruction methods. So far, many digestive tract reconstruction methods have been reported. This paper introduced the commonly used digestive tract reconstruction methods, and summarized the literature on postoperative quality of life and survival outcomes, so as to provide reference and choice for surgeons.
Authors and Affiliations
Qiang SUN, Jun YAO, Xin ZHANG, Shanshan DU, Weijun WANG
Keywords
Related Articles
- EP ID EP750901
- DOI 10.16139/j.1007-9610.2023.04.017
- Views 58
- Downloads 0
Standardized procedure, quality control and efficacy evaluation of laparoscopic surgery for colorectal cancer
The safety and efficacy of laparoscopic surgery for colorectal cancer has been confirmed by several large-scale clinical studies. Laparoscopy has become the main modality of surgical treatment for colorectal cancer in Ch...
<![CDATA[Standardized procedure, quality control and efficacy evaluation of laparoscopic surgery for colorectal cancer]]>
<![CDATA[The safety and efficacy of laparoscopic surgery for colorectal cancer has been confirmed by several large-scale clinical studies. Laparoscopy has become the main modality of surgical treatment for colorectal can...
Perioperative application of geriatric nutritional risk index in senile patients with gastrointestinal tumors
[Objective] To study the value of perioperative application of geriatric nutritional risk index (GNRI) in elderly patients with gastrointestinal tumor. [Methods] GNRI or nutritional risk screening 2002 (NRS 2002) was use...
Analysis and recognition of endoscopic treatment for cholelithiasis from the view of disease of pancreaticobiliary junction
Cholelithiasis is a common disease, which seriously endangers human health. The traditional treatment mainly depended on open cholecystectomy and biliary tract exploration. With the development of minimally invasive tech...
<![CDATA[Review and prospect of neoadjuvant chemoradiotherapy combined with immunotherapy in locally advanced rectal cancer]]>
<![CDATA[For locally advanced rectal cancer (LARC), the standard treatment of neoadjuvant chemoradiotherapy (nCRT) followed by total mesorectal excision (TME) leaded to limited tumor regression grade and organ preservati...