Application of double tract reconstruction of alimentary tract for gastrectomy

Objective To explore a rather ideal reconstruction of alimentary tract for every type of gastrectomy.Methods Thirty five cases receiving double tract method in reconstruction of alimentary tract after total gastrectomy(TG), proximal gastrectomy(PG) and distal gastrectomy(DG) from December 1993 to December 2000 were reviewed. The patients quality of life was evaluated by postoperative follow up, GI and hematology examination. Results Notable reflux alkaline gastritis or esophagitis, dumping syndrome and Roux en Y stasis syndrome were not observed after operation. The Visick classification wasⅠ or Ⅱ grade (all 35 cases,Ⅰ grade for 68.5%,Ⅱ grade for 31.4%; TG 20 cases,Ⅰ grade for 60%,Ⅱ grade for 40%; PG 10 cases,Ⅰ grade for 70%,Ⅱ grade for 30%; DG 5 cases,Ⅰ grade for 100%).Conclusions Double tract method in reconstruction operation of alimentary tract is close to physiology and the manipulation is simple with a few complications. Better quality of life can be found in these patients after operation. This procedure is suitable for every type of gastrectomy.