Effects of Different Anastomosis on Gastroesophageal Reflux after Laparoscopic Distal Radical Gastrectomy
Objective:To explore the effects of different anastomosis on gastroesophageal reflux after laparoscopic distal radical gastrectomy.Method:80 patients with gastric cancer admitted to the Second People's Hospital Affiliated to Fujian University of Chinese Medicine from January 2018 to October 2023 were selected as the study objects.According to different anastomosis after laparoscopic distal radical gastrectomy,patients were divided into control group(Billroth Ⅱ+Braun anastomosis,n=40)and study group(non-disconnection Roux-en-Y,n=40).The perioperative indexes,gastroesophageal reflux,nutritional status[hemoglobin(HB),transferrin(TRF),albumin(ALB),prealbumin(PA)]and postoperative complications were compared between the two groups.Result:The operation time,anal exhaust time,eating time and length of hospital stay in study group were all lower than those in control group,and the difference was statistically significant(P<0.05).5 d after surgery,pH value of gastric fluid was significantly increased in both groups,and the study group was higher than control group,and the positive and negative symptoms scores of GerdQ in study group were higher than those in control group,and the difference was statistically significant(P<0.05).The levels of HB,TRF and ALB were increased in both groups,the study group was higher than control group,and the difference was statistically significant(P<0.05).There was no significant difference in the comparison of incidence of postoperative complications between the two groups(P>0.05).But there was significant difference in the comparsion of gastroesophageal reflux rate between the two groups(P<0.05).Conclusion:For patients with gastric cancer after laparoscopic distal radical gastrectomy,non-disconnection Roux-en-Y has significant anastomosis effect,which can reduce surgical trauma,promote postoperative recovery,reduce gastric acid reflux,improve nutritional status and reduce incidence of gastroesophageal reflux.
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