title: [Application of modified double tracks anastomosis in patients with Siewert II-III adenocarcinoma of the esophagogastric junction treated with radical gastrectomy].
abstract: OBJECTIVE
  To discuss the effect of modified double tracks anastomosis in patients with type Siewert II-III( adenocarcinoma of the esophagogastric junction(AEG) treated with radical gastrectomy.
  
  
  METHODS
  Clinical data of 763 patients with type Siewert II-III AEG undergoing radical operation in our department from January 2004 to December 2008 were analyzed retrospectively. Patients were randomized into 3 groups according to the different procedures modes: radical proximal gastrectomy with modified double tracks anastomosis(266 cases), radical proximal gastrectomy with esophageal gastric stump end-to-side anastomosis(252 cases), and radical total gastrectomy with esophageal jejunum Roux-en-Y anastomosis(245 cases). There were no significant differences in general information and biological characteristics among the 3 groups(all P>0.05). Radical degree, safety, quality of life and prognosis were compared among 3 groups.
  
  
  RESULTS
  There were no significant differences in postoperative complications among the three groups(P>0.05). Six months after operation, in modified double tracks anastomosis group, food intake recovery percentage was superior to the other two groups, and the Visick scores and endoscopic grading were better than esophageal gastric stump end-to-side anastomosis group(all P<0.05). There was no significant difference in recurrent rate of gastric stump between modified double tracks anastomosis group and esophageal gastric stump end-to-side anastomosis group(P>0.05). The 5-year overall survival rate of these 3 groups was 48.7%, 46.3% and 50.2% respectively, and no significant difference was found(all P>0.05).
  
  
  CONCLUSIONS
  Modified double tracks anastomosis is an ideal surgical method for type II-III AEG.
authors.affiliation: Department of General Surgery, The Fourth Affiliated Hospital, Hebei Medical University, Shijiazhuang 050011, China. li_yong_hbth@126.com.
authors.forename: Qun
authors.initials: Q
authors.lastname: Zhao
authors.forename: Yong
authors.initials: Y
authors.lastname: Li
authors.forename: Peigang
authors.initials: P
authors.lastname: Yang
authors.forename: Bibo
authors.initials: B
authors.lastname: Tan
authors.forename: Liqiao
authors.initials: L
authors.lastname: Fan
authors.forename: Zhikai
authors.initials: Z
authors.lastname: Jiao
authors.forename: Xuefeng
authors.initials: X
authors.lastname: Zhao
authors.forename: Zhidong
authors.initials: Z
authors.lastname: Zhang
authors.forename: Dong
authors.initials: D
authors.lastname: Wang
authors.forename: Yu
authors.initials: Y
authors.lastname: Liu
authors.forename: Yuan
authors.initials: Y
authors.lastname: Tian
mesh_terms: D000230:Adenocarcinoma; D000713:Anastomosis, Roux-en-Y; D004938:Esophageal Neoplasms; D004943:Esophagogastric Junction; D005743:Gastrectomy; D018530:Gastric Stump; D006801:Humans; D011183:Postoperative Complications; D011788:Quality of Life; D012189:Retrospective Studies; D013274:Stomach Neoplasms; D015996:Survival Rate