Abstract: Objective To explore the improvement of the digestive tract reconstruction surgery of postoperative proximal gastric cancer.Methods One hundred and eleven patients were chosen in our hospital from May 2012 to January 2014,and were divided into modified group(gastric tube-esophageal anastomosis)and traditional group(remnant stomach-esophageal anastomosis).Following-up visits were carried out for the incidence of postoperative/complications,and the postoperative quality of life was analyzed with EORTC QLQ-C30 and QLQ-STO22.Results There was no death case in both groups in the postoperative following-up period.The duration of operation,amount of bleeding during operation and weight changes after a month of the both groups were no statistical significance.However,there was statistical significance in weight changes after operation 6 months,and the results of modified group was better than traditional group.By analyzing the EORTC QLQ-C30 and QLQ-STO22,there was statistical significance in nausea and vomiting,dysphagia,pain,reflux,and the results of modified group was better than traditional group,there were no statistical significances of others.Conclusion Compared with the traditional group,modified group can decrease postoperative nausea and vomiting,dysphagia,pain,reflux and improve the patients′postoperative quality of life effectively.It is recommended for digestive tract reconstruction after proximal gastrectomy excision.