Effect of the three digestive tract procedures after total gastrectomy on postoperative quality of life

Objective:To evaluate quality of life(QOL)of patients receiving different alimentary reconstruction following total gastrectomy.Methods:Clinical data of 218 total gastrectomy patients receiving 3 different alimentary reconstruction were analyzed retrospectively.Reconstruction procedures included respectively Roux-en-Y esophago jejunostomy(n=78),P-type jejunal loop Roux-en-Y(n=96)and FJI(n=44).Body weight,eating capacity,QOL assessment by gastrointestinal symptom rating scale(GSRS),nutritional parameters,and endoscopical examination were respectively evaluated 12 months later after surgery.Results:QOL in patients with P-type loop and FJI reconstruction procedures were better than routine Roux-en-Y reconstruction 12 months later after surgery,especially on eating capacity and GSPS scores(P0.05).Twelve months later after surgery,body weight recovery of FJI group was significantly superior to that of the P-type loop group.Conclusion:P-type loop and FJI reconstruction procedures provided better QOL for patients with total gastrectomy,compared with the routine Roux-en-Y esophagojejunostomy.FJI reconstruction provided further improvement of QOL in patients receiving total gastrectomy.