Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): After total gastrectomy for pancreatic cancer (March 2010), the main symptom, vomiting bitter water (yellow juice), and localized itching of the face (mainly under the eyelids) occurred during the three chemotherapy sessions at Anhui Provincial Hospital of Traditional Chinese Medicine, and how to reduce the number of acid reflux and how to solve the itching. The Second Hospital of Nanjing Thoracic Surgery Department Huang Guojin: After cardia cancer surgery, the patient’s esophagogastric mechanical anastomosis, due to the removal of the cardia sphincter, almost all patients will have acid reflux phenomenon, and some patients have coughing and wheezing, also caused by reflux esophagitis. Suggestions: 1. Take oral acid suppressant preparations; such as omeprazole; 2. Elevate the upper body about 15-30 degrees when sleeping; 3. Move around for a while after meals before resting. Usually the patient’s symptoms will improve.