Gastric Cancer
Conditions
Interventions
Group 1:Esophagogastric anastomosis
Group 2:Double tract jejunal interposition
Group 3:modified double tract gastric interposition
Sponsors
Jiangsu Cancer Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18-80 years old, male or female; 2. Be diagnosed as gastric adenocarcinoma by endoscopic biopsy; 3. The tumor is located in the in the upper third of the stomach(including the esophagogastric junction), preoperative clinical stage: cT1cN0; 4. physical condition ECOG PS: 0 or 1 point; 5. There are no surgical contraindications for the examination of various organ functions before surgery; 6. Laboratory inspection indicators meet the following requirements: Bone marrow function: hemoglobin (Hb) >=90g/L; white blood cell count (WBC) >=normal limit; neutrophil absolute value (ANC) >=1.5x10^9/L; platelet count >=100x10^9/L; Renal function: Cr =55 ml/min; Liver function: total bilirubin <=1.5 ULN; ALT and AST <=2.5 ULN; Coagulation function: international normalized ratio of prothrombin time 1.5 ULN, and partial thromboplastin time is within the normal range; Pre-meal blood glucose <=7mmol/L; 7. Effective contraceptive measures are required during the study period of women of childbearing age; 8. Patients or their legal representatives voluntarily participate in and sign an informed consent form.
Exclusion criteria
Exclusion criteria: 1. pregnant or lactating women; 2. severe mental illness; 3. Intraoperative exploration found that the clinical stage of the patient's tumor does not belong to cT1cN0, and is not suitable for proximal gastrectomy; 4. Preoperative and intraoperative findings of distant organ metastasis or extensive intra-abdominal metastasis; 5. Combine simultaneous or metachronous other organ tumors; 6. failed to complete radical surgery, palliative resection of the tumor; 7. previous history of gastrointestinal surgery; 8. There has been a history of neoadjuvant chemoradiation; 9. severely associated diseases that may have a survival period of < 5 years; 10. Cases that the investigator believes are not suitable for enrollment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of postoperative reflux esophagitis; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative nutritional status; | — |
Countries
China
Contacts
Public ContactHuanqiu Chen
Jiangsu Cancer Hospital
Outcome results
None listed