Objective    To explore the ideal method of digestive tract reconstruction after proximal gastrectomy that decreases the incidence of reflux esophagitis.     Methods    The modified double tracks anastomosis was used in 71 patients who had undergone proximal gastrectomy for carcinoma of gastric cardia between January 2004 to July 2006. All cases were followed up for 9 to 39 months. The incidence of reflux esophagitis was evaluated by grading standard for reflux esophagitis

gastric emptying test

and 24-hour pH monitoring at inferior segment of esophagus.     Results    Application of Staplers can speed up operation process obviously. All patients were discharged with average postoperative hospital stay of 9 days. There were no complications such as fistula

stenosis and obstruction around stoma. In follow-up visit

only 6 cases showed slight symptom of contraflow and no patients showed severe symptom of reflux esophagitis such as sour regurgitation

heartburn and retrosternal pain. Contraflow was not seen in gastric emptying test. The value of 24-hour pH monitoring at inferior segment of esophagus was (6.9±0.1). The life quality of all patients was satisfactory.     Conclusion    The modified double tracks anastomosis is an ideal procedure in digestive tract reconstruction to prevent the incidence of reflux esophagitis after proximal gastrectomy.