Abstract: Objective To evaluate time of digestive tract reconstruction and quality of life(QOL)of patients receiving different alimentary reconstruction following total gastrectomy.Methods Clinical data of 218 total gastrectomy patients receiving 2 different alimentary reconstruction were analyzed retrospectively.Reconstruction procedures included respectively PR(n=96)and FJI(n=44).Body weight, eating capacity and QOL assessment by gastrointestinal symptom rating scale(GSRS)and nutritional parameters were respectively evaluated at 12 months after surgery.Results QOL in patients with FJI reconstruction procedures were better than that of PR reconstruction at 12 months after surgery, especially on eating capacity and GSPS scores(P＜0.05).At 12 months after surgery, body weight recovery of FJI group was significantly superior to that of the PR group.Conclusions Compared with PR, FJI reconstruction procedures provided better QOL for patients with total gastrectomy, especially in daily food intake and body weight recovery.