| Objective: To compare the gastric emptying of advanced adenocarcinoma of esophagogastric junction(Siewert II)with anastomosis of esophagus and narrow gastric tube(defined as narrow gastric tube)with that of tradional esophagogastrectomy(defined as distal half stomach).Methods: the gastric emptying of 17 cases of patients with advanced adenocarcinoma of esophagogastric junction(Siewert II)with anastomosis of esophagus and narrow gastric tube from was measured with radionuclide examination(99mTc-DPTA)from 2017.3 to 2017.12,compared with that of 20 cases of patients with traditional esophagogastrectomy.Results: No significant difference was indicated in clinicopathological data,postoperative hemoglobin,postoperative albumin,postoperative prealbumin in two groups.Half gastric emptying of narrow gastric tube group was shorter than that of traditional esophagogastrectomy group(11.72±11.31 min vs.29.68±31.82 min,P<0.05).The 5 minutes? 10 minutes and 20 minutes gastric emptying rate were 42.07 ±22.42%? 56.62±19.09% and 67.50±18.62% respectively in narrow gastric tube group and which were 26.18±22.41%,41.61±23.92%,52.24±24.82% in traditional gastrectmoy group(all P<0.05).No statistically significance was indicated in the 30? 60 and 120 minutes the gastric emptying rate(P>0.05).Conclusion: The gastric emptying of advanced adenocarcinoma of esophagogastric junction(Siewert II)with anastomosis of esophagus and narrow gastric tube was faster than that of traditional esophagogastrectomy,which was reducing gastroesophageal reflux. |
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