| Objective: Using esophagogastric mucosa anastomosis with oblique stomach wall invagination for patients with cardiac carcinoma operated the esophageal-stomach anastomosis procedure. The paper was intended to discuss the anti-reflux effect of this procedure after resection of cardiac neoplasm. Methods: Sixty cardiac carcinoma patients with confirmed diagnosed and integrate clinical data, were distributed randomly into the test-group and the control-group with equal number. The control-group anastomotic procedure was operated with Chang Zhou upper intestinal anastomotic stapler after resection of cardiac neoplasm; the test-group anastomotic procedure was operated with esophagogastric mucosa anastomosis with obliquestomach wall invagination after resection of cardiac neoplasm. Following-up on 60 patients began from 3 weeks to 6 months after operation. There are five observative index: the degree of clinical symptom of reflux esophagitis, esophageal barium meal examination, endoscopic and pathological examination, pH value of esophageal fluid measuring , radiant nuclear substance examination.Result: Following-up on 60 patients from 3 weeks to 6 months after operation. After comparing the total distribution of five indexes between the test-group and the control-group. We found that the clinical symptom of reflux in the test-group is milder than in the control-group. When the reflux esophagitis was defined by making barium meal examination and endoscopic and pathological examination on all patients, the result showed that the rate of reflux esophagitis in the test-group is lower than in the control-group. The incidence of reflux esophagitis in the test-group is lower than in the control-group by measuring the pH value of esophageal fluid and making the radiant nuclear substance examination. Conclusion: The procedure of esophagogastric mucosaanastomosis with oblique stomach wall invagination has an certain anti-reflux effect.
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