双通道折叠式空肠间置术及食管空肠Roux-en-Y吻合术对食管胃结合部肿瘤患者术后胃食管反流及胃肠功能的影响

doi:10.3969/j.issn.1671-7171.2026.09.025

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Abstract 【Objective】To investigate the effects of double-tract folded jejunal interposition and Roux-en-Y esophagojejunostomy on gastroesophageal reflux and gastrointestinal function in patients with tumor of gastroesophageal junction. 【Methods】The clinical data of 86 patients with tumor of gastroesophageal junction who underwent total gastrectomy at Zhengzhou Central Hospital Affiliated to Zhengzhou University and The First Affiliated Hospital of Zhengzhou University from March 2023 to March 2024 were retrospectively analyzed. According to different digestive tract reconstruction methods, the patients were divided into a control group (Roux-en-Y esophagojejunostomy) and an observation group (double-tract folded jejunal interposition), with 43 cases in each group. The perioperative indicators, gastroesophageal reflux, postoperative gastrointestinal function recovery indicators (time to recovery of bowel sounds, time to relief of gastrointestinal discomfort, time to first defecation), nutritional indicators [total protein (TP), albumin (Alb), hemoglobin (Hb)], and the incidence of postoperative complications were compared between the two groups. 【Results】There were no statistically significant differences in the time of digestive tract reconstruction, intraoperative blood loss, postoperative extubating time, time to first oral intake, time to first flatus, or length of hospital stay between the two groups (all P>0.05). The GerdQ scores at 1, 3, and 6 months after surgery in both groups were lower than those before surgery, and these GerdQ scores in the observation group were lower than those in the control group, with statistically significant differences (all P<0.05). At 6 months after surgery, the proportion of patients diagnosed with reflux esophagitis by endoscopy in both groups was lower than that before surgery, and the proportion in the observation group was lower than that in the control group, with statistically significant differences (all P<0.05). The time to recovery of bowel sounds, time to relief of gastrointestinal discomfort, and time to first defecation in the observation group were shorter than those in the control group, with statistically significant differences (all P<0.05). At 6 months after surgery, the serum levels of TP, Alb, and Hb in both groups were higher than those before surgery, and these levels in the observation group were higher than those in the control group, with statistically significant differences (all P<0.05). The total incidence of postoperative complications in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). 【Conclusion】In patients with tumor of gastroesophageal junction undergoing total gastrectomy, the perioperative indicators of double-tract folded jejunal interposition and traditional Roux-en-Y esophagojejunostomy are comparable. However, double-tract folded jejunal interposition can offer better anti-reflux effect, promote gastrointestinal function recovery, improve nutritional status, and reduce the incidence of complications.

Key words： Tumor of Gastroesophageal Junction Double-Tract Foldable Jejunal Interposition Esophagojejunal Roux-en-Y Anastomosis Gastroesophageal Reflux Gastrointestinal Function

Received: 31 October 2025

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R735.2

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	WANG Shuisheng
	ZHAO Chunlin
	JIN Xiaoran
	GAO Lei

Cite this article:

WANG Shuisheng,ZHAO Chunlin,JIN Xiaoran, et al. Effect of Double-Tract Folded Jejunal Interposition and Esophagojejunostomy Roux-en-Y Anastomosis on Postoperative Gastroesophageal Reflux and Gastrointestinal Function in Patients with Tumor of Gastroesophageal Junction[J]. JOURNAL OF CLINICAL RESEARCH, 2026, 43(9): 1500-1503.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2026.09.025 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2026/V43/I9/1500

[1] 冯祥, 华召来, 钱东福, 等. 2011—2017年江苏省扬中市上消化道癌高危人群食管、胃/贲门癌筛查结果分析[J].中国肿瘤, 2021, 30(7):523-528.
[2] Ma F, Wang W F, Guo D D, et al. Short-term outcomes of laparoscopic versus open proximal gastrectomy with double-tract reconstruction for Siewert type Ⅱ and Ⅲ adenocarcinoma of the esophagogastric junction: a retrospective observational study of consecutive patients[J]. Ann Transl Med, 2021, 9(4):352.
[3] 炕景超. 双通道空肠间置消化道重建在胃癌腹腔镜全胃切除术中的应用价值[J].河南医学研究, 2021, 30(23):4323-4325.
[4] 汪明强, 侯振宇, 李雪平, 等. 双通道折叠式空肠间置在近端胃切除术中应用[J].海南医学, 2020, 31(22):2961-2963.
[5] 中华人民共和国国家卫生健康委员会医政医管局. 胃癌诊疗指南(2022年版)[J]. 中华消化外科杂志, 2022, 21(9): 1137-1164.
[6] 中国胃食管反流病研究协作组. 反流性疾病问卷在胃食管反流病诊断中的价值[J]. 中华消化杂志, 2003, 23(11): 651-654.
[7] 舒同, 文红梅, 袁浩, 等. 两种不同吻合术式对近端胃癌根治术患者术后反流及机体营养恢复的影响[J].中华普外科手术学杂志(电子版), 2019, 13(6):585-588.
[8] 柴淼, 郭鹏, 蒙岭. 胃癌根治术后消化道重建的临床效果观察[J].中国药物与临床, 2021, 21(16):2805-2807.
[9] 李自力, 谢小英. 腹腔镜全胃切除术后不同消化道重建方式对胃癌患者胆囊收缩功能及术后并发症的影响[J].实用医院临床杂志, 2021, 18(2):108-111.
[10] Stegniy K V, Maslyantsev E V, Goncharuk R A, et al. Double-tract reconstruction for oesofagocardial gastric cancer: a systematic review[J]. Ann Med Surg (Lond), 2021, 67:102496.
[11] Ji X, Jin C G, Ji K, et al. Double tract reconstruction reduces reflux esophagitis and improves quality of life after radical proximal gastrectomy for patients with upper gastric or esophagogastric adenocarcinoma[J]. Cancer Res Treat, 2021, 53(3):784-794.
[12] 宋学民, 徐君毅, 以敏, 等. 达芬奇手术机器人系统对胃癌根治性切除术患者胃肠功能恢复及免疫功能的影响[J].中国医学装备, 2022, 19(7):89-93.
[13] Shaibu Z, Chen Z H, Mzee S, et al. Effects of reconstruction techniques after proximal gastrectomy: a systematic review and meta-analysis[J]. World J Surg Oncol, 2020, 18(1):171.
[14] 杨九霄, 姜淮芜, 陶小亮, 等. 进展期胃癌患者全胃切除调节型双通道间置空肠消化道重建术后的生存质量和营养状况[J].广西医学, 2020, 42(3):252-257.
[15] 刘园蔚, 程楠, 杨得振, 等. 不同消化道重建吻合方式对全胃切除术后胃癌患者的影响[J].中国肿瘤临床与康复, 2022, 29(3):257-260.