Controversies and countermeasures on reconstruction of digestive tract during surgery for advanced gastric cancer
XU Ze-kuan
WANG Wei-zhi
XU Hao
Abstract：The choice of digestive tract reconstruction in advanced gastric cancer is closely related to the safety of operations and the quality of postoperative life of patients.For palliative distal gastrectomy,Billroth Ⅱ + Braun anastomosis or Roux-en-Y anastomosis is recommended while Roux-en-Y anastomosis is recommended after total gastrectomy.For patients who are not suitable for palliative tumor resection and with digestive tract obstruction,gastrojejunostomy or gastrojejunostomy + Braun anastomosis is preferred.For patients who is not able to tolerate surgical treatments,endoscopic stent implantation may be under consideration.In addition,if tumor is located near cardia or the extensive peritoneal metastasis exists,priority should be given to gastrotomy.If the patient is diagnosed with linitis plastica or gastric cancer involving the entire stomach,the jejunostomy should be considered.
Keywords：advanced gastric cancerdigestive tract reconstructiongastrojejunostomy
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1093-1095 )