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目的为探讨贲门癌作全胃切除后，用何种方法重建消化道为理想术式。方法通过Ｘ线钡餐透视和纤维食管镜检查及随访，对６３例贲门癌作全胃切除后用带蒂的三叠空肠囊代胃重建消化道进行临床观察。结果全部成功，无吻合口漏，无吻合口狭窄，无反流性食管炎等并发症发生。结论用三叠空肠囊代胃，不但保持了消化道正常通路，有明显的食物贮存作用，能延长食物排空时间，而且可以预防反流性食管炎，避免出现“小胃综合症”等优点。因此，贲门癌作全胃切除后用三叠空肠囊代胃是重建消化道的理想术式。
Objective To investigate the method of reconstructing the digestive tract after the total gastrectomy for cardiac cancer. Methods By using X-ray barium meal fluoroscopy, fiberoptic esophagoscopy and follow-up, 63 cases of cardiac cancer were treated with total gastrectomy. The pedicled triskeletal jejunal sac was used to observe the gastrointestinal tract. The results were all successful, no anastomotic leakage, no anastomotic stenosis, no complications such as reflux esophagitis. Conclusion The use of three empty jejunal sac instead of the normal passage of the digestive tract, has obvious food storage effect, can prolong the food emptying time, and can prevent reflux esophagitis and avoid the occurrence of “small stomach syndrome” and other advantages . Therefore, the use of three empty jejunal sac substitutes for stomach cancer after total gastrectomy is the ideal technique for reconstructing the digestive tract.