Esophagojejunostomy after total gastrectomy shows high mortality and morbidity. Complication after esophagojejunostomy was caused by constant tension on esophagojejunostomy in erect-position, resulting in disturbance of blood flow in the anastomotic site. The purpose is to evaluate efficacy of anchoring sutures. Medical charts of patients diagnosed with gastric cancer who underwent total gastrectomy from 1998 to 2008 were analyzed retrospectively. Anchoring suture between jejunum and diaphragm after esphagojejunostomy was performed in all patients. A total of 155 patients were enrolled. Esophagojejunostomy leakage 3, revision operation 2, and conservation 1. Esophagojejunostomy stenosis 1, which was improved by balloon. This procedure could protect the esophagojejunostomy site from traction force.

The aim of this study is to evaluate satisfaction with critical pathway (CP) in nursing gastric cancer patients. From January to June 2008, non critical pathway group (NCPG, n=28) is used by general doctor’s order. However, from July to December 2008, critical pathway group (CPG, n=25) received the CP schedule applied by the PA on the pre operative day. The collected data were analyzed by chi-square, and student t-test using the SPSS/Win 12.0 program. Patient’s satisfaction increased with understanding of disease and treatment process, explanation of related study and treatment, education regarding activity status, and degree of confidence in doctor. Patient satisfaction was higher in the CPG than in the NCPG.