Abstract:Objective:To analyze the quality of life(QOL) of gastric cancer patients who underwent different types of gastrectomy and digestive tract reconstruction procedures. Methods:Among the patients who underwent gastrectomy in our department over a period of 4 years, 61 cases that survived for more than 2 years were analyzed for QOL using 14 parameters. The 61 cases included 13 cases of proximal subtotal gastrectomy and esophagogastrostomy, 18 cases of total gastrectomy and jejunal P pouch reconstruction, and 30 cases of total gastrectomy and double Braun type of jejunal reconstruction. Pouch emptying function in 12 patients with different types of reconstruction was determined in by Isotope 99mTC scintigraphy.Results:At 6 months after operation, the parameters showed no significant differences between the 3 groups. At 12 months after operation, the QOL of patients with double Braun-type reconstruction was superior to that of patients with P jejunal pouch and patients with esophagogastrostomy in intake time(P<0.05), intake frequency(P<0.05) and body weight gain(P<0.05). At 24 months after operation, the double Braun-type reconstruction group was superior to the other two reconstruction groups in body weight gain(P<0.05); and retention time of food after the double Braun reconstruction was longer than that after the other two types of reconstruction(P=0.001,P=0.002,respectively).Conclusions:Patients undergoing total gastrectomy and double Braun reconstruction have a better postoperative QOL in the short term as compared to that of jejunal P pouch reconstruction and esophagogastrostomy. The double Braun reconstruction provides excellent food storage function.