title: [Application of the gastric tube in surgical treatment of esophagogastric junction adenocarcinoma].
abstract: OBJECTIVE
  To evaluate the outcome of gastric tube anastomosis after intraperitoneal gastrectomy in the patients with types II and III adenocarcinoma of the esophagogastric junction (AEG). From October 2009 to December 2010, 74 patients with diagnosis of type II or type III AEG were divided groups. Traditional anastomosis of gastric remnant with esophagus was performed to 38 patients in group, while new anastomosis of gastric tube with esophagus was performed to 34 patients in gastric tube
  
  
  RESULTS
  There were no statistically significant differences in baseline data, clinical and pathological characteristics between the two groups (P > 0.05). For the postoperative complications, 12 (31.6%) patients in traditional and 4 (11.8%) patients in gastric tube group occurred gastroesophageal reflux symptoms (P = 0.043). 9 patients in traditional group and 2 (5.9%) patients in gastric tube group were diagnosed as reflux esophagitis postoperative endoscopic examination (P = 0.036).
  
  
  CONCLUSIONS
  The anastomosis of gastric tube with the after proximal gastrectomy could reduce the incidence of gastroesophageal reflux.
authors.affiliation: Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
authors.forename: Xiu-Feng
authors.initials: XF
authors.lastname: Chen
authors.forename: Hong-Zin
authors.initials: HZ
authors.lastname: Yang
authors.forename: Hai-Ning
authors.initials: HN
authors.lastname: Chen
authors.forename: Bo
authors.initials: B
authors.lastname: Zhang
authors.forename: Zhi-Xin
authors.initials: ZX
authors.lastname: Chen
authors.forename: Jian-Kun
authors.initials: JK
authors.lastname: Hu
authors.forename: Jia-Ping
authors.initials: JP
authors.lastname: Chen
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods*; D002681:China / Q000453:epidemiology; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D004943:Esophagogastric Junction / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods; D005764:Gastroesophageal Reflux / Q000453:epidemiology / Q000517:prevention & control; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013274:Stomach Neoplasms / Q000601:surgery*