SURGICAL METHOD FOR TREATING CHRONIC DUODENAL OBSTRUCTION CASES

摘要

FIELD: medicine.;SUBSTANCE: method involves cutting Treitz ligament. Descending and inferior horizontal branches of a duodenum are mobilized when fixing ileocecal angle above iliac blood vessels 1.5-2 cm far from its wall with pancreas head. Duodenojejunal transition and mesenterial root of thin intestine are mobilized to the ileocecal angle. The duodenum is completely removed from under the mesenterium root, the duodenojejunal transition is completely smoothed with gastroduodenopancreaticobiliary complex structures continuity being retained. The duodenum omentopexy is carried out and smoothed duodenojejunal transition. When fixing the ileocecal angle at the level of right iliac blood vessels, the ileocecal angle is additionally mobilized and the first loop of jejunum is reduced. When fixing the ileocecal angle and mesenterial root, ascending colon is additionally mobilized in small pelvis, and ileocecal angle is additionally mobilized above iliac blood vessels. When fixing the ileocecal angle and small intestine mesenterial root in small pelvis, and truncated mesenterium of the first loop of jejunum is available, unsmoothed duodenojejunal transition is laid in addition to the right of superomesenterial blood vessels.;EFFECT: enhanced effectiveness in treating compression forms of chronic duodenal obstruction.;4 cl, 24 dwg