METHOD FOR SURGICAL TREATMENT OF POSTBULBAR DUODENAL ULCERS COMPLICATED WITH CHOLEDOCHODUODENAL FISTULA

摘要

FIELD: medicine, surgical gastroenterology.;SUBSTANCE: the present innovation deals with the surgery of complicated inferior duodenal ulcers. It is necessary to dissect cicatricially altered duodenal tissues, totally intersect choledochus being proximally against its lesion. Tissues of the dissected terminal department should be applied for duodenal plasty due to including into them into the composition of posterior wall of duodeno-duodenoanastomosis. Then it is important to fulfill the reconstruction of bile-excretory ducts at forming areflux choledocho-enteroanastomosis upon inactive jejunal loop. The innovation enables to improve the results of therapy of the most complicated localization of duodenal ulcer due to preventing cholangitis, transfistular reflux. The innovation is characterized by complete recovery from ulcerous disease and practically no severe complications both in early and late post-surgical period. The method is of reconstructive character.;EFFECT: higher efficiency of therapy.;5 dwg, 1 ex