title: Proximal gastrectomy with jejunal interposition and TGRY anastomosis for proximal gastric cancer.
abstract: OBJECTIVE
  To compare the short-term outcomes of patients who underwent proximal gastrectomy with jejunal interposition (PGJI) with those undergoing total gastrectomy with Roux-en-Y anastomosis (TGRY).
  
  
  METHODS
  From January 2009 to January 2011, thirty-five patients underwent PGJI, and forty-one patients underwent TGRY. The surgical efficacy and short-term follow-up outcomes were compared between the two groups.
  
  
  RESULTS
  There were no differences in the demographic and clinicopathological characteristics. The mean operation duration and postoperative hospital stay in the PGJI group were statistically longer than those in the TGRY group (P = 0.00). No anastomosis leakage was observed in two groups. No statistically significant difference was found in endoscopic findings, Visick grade or serum albumin level. The single-meal food intake in the PGJI group was more than that in the TGRY group (P = 0.00). The PG group showed significantly better hemoglobin levels in the second year (P = 0.02). The two-year survival rate was not significantly different (PGJI vs TGRY, 93.55% vs 92.5%, P = 1.0).
  
  
  CONCLUSIONS
  PGJI is a safe, radical surgical method for proximal gastric cancer and leads to better outcomes in terms of the single-meal food intake and hemoglobin level, compared with TGRY in the short term.
authors.affiliation: Ping Zhao, Shuo-Meng Xiao, Ling-Chao Tang, Zhi Ding, Xiang Zhou, Xiao-Dong Chen, Department of Gastro-hepatic Surgery, Sichuan Cancer Hospital, Chengdu 610041, Sichuan Province, China.
authors.forename: Ping
authors.initials: P
authors.lastname: Zhao
authors.affiliation: Ping Zhao, Shuo-Meng Xiao, Ling-Chao Tang, Zhi Ding, Xiang Zhou, Xiao-Dong Chen, Department of Gastro-hepatic Surgery, Sichuan Cancer Hospital, Chengdu 610041, Sichuan Province, China.
authors.forename: Shuo-Meng
authors.initials: SM
authors.lastname: Xiao
authors.affiliation: Ping Zhao, Shuo-Meng Xiao, Ling-Chao Tang, Zhi Ding, Xiang Zhou, Xiao-Dong Chen, Department of Gastro-hepatic Surgery, Sichuan Cancer Hospital, Chengdu 610041, Sichuan Province, China.
authors.forename: Ling-Chao
authors.initials: LC
authors.lastname: Tang
authors.affiliation: Ping Zhao, Shuo-Meng Xiao, Ling-Chao Tang, Zhi Ding, Xiang Zhou, Xiao-Dong Chen, Department of Gastro-hepatic Surgery, Sichuan Cancer Hospital, Chengdu 610041, Sichuan Province, China.
authors.forename: Zhi
authors.initials: Z
authors.lastname: Ding
authors.affiliation: Ping Zhao, Shuo-Meng Xiao, Ling-Chao Tang, Zhi Ding, Xiang Zhou, Xiao-Dong Chen, Department of Gastro-hepatic Surgery, Sichuan Cancer Hospital, Chengdu 610041, Sichuan Province, China.
authors.forename: Xiang
authors.initials: X
authors.lastname: Zhou
authors.affiliation: Ping Zhao, Shuo-Meng Xiao, Ling-Chao Tang, Zhi Ding, Xiang Zhou, Xiao-Dong Chen, Department of Gastro-hepatic Surgery, Sichuan Cancer Hospital, Chengdu 610041, Sichuan Province, China.
authors.forename: Xiao-Dong
authors.initials: XD
authors.lastname: Chen
mesh_terms: D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects / Q000401:mortality; D015415:Biomarkers / Q000097:blood; D002681:China; D004435:Eating; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000401:mortality; D006454:Hemoglobins / Q000378:metabolism; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D020127:Recovery of Function; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D015996:Survival Rate; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D006454:Hemoglobins
keywords: Proximal gastric cancer; Proximalgastrectomy with jejunal interposition; Total gastrectomy with Roux-en-Y anastomosis