全胃切除术后患者常有吞咽困难,返流性食管炎,食欲下降,进食减少及倾倒综合征等并发症。临床及实验研究表明,外科手术时保留十二指肠可改善营养状态,保留幽门可防止胆汁返流和倾倒综合征的发生。目前常用的方法是ＲｏｕｘｅｎＹ食管空肠吻合和各种空肠代胃术,效果均不能令人满 Patients with total gastrectomy often have complications such as dysphagia, reflux esophagitis, decreased appetite, decreased feeding, and dumping syndrome. Clinical and experimental studies have shown that retaining the duodenum during surgery can improve the nutritional status, and the retention of pylorus can prevent the occurrence of bile reflux and dumping syndrome. The commonly used method is RouxenY esophageal jejunostomy and various jejunal gastrectomy, the effect can not be full