METHOD FOR SURGICAL TREATMENT OF DUODENAL ATRESIA

摘要

FIELD: medicine, surgery.;SUBSTANCE: one should cross jejunum at the distance of 4-5 cm against Treitz' ligament, distal end should be applied through mesocolonic foramen into duodenal projection to be withdrawn onto anterior abdominal wall as a terminal jejunostoma. Teflon tube should be introduced there for enteral nutrition. Out of proximal end one should develop interintestinal anastomosis at the distance of 5-6 cm against jejunostoma. After correcting metabolic and morphological disorders at the second stage of therapy one should eliminate jejunostoma and restore intestinal permeability by forming anastomosis between duodenum and distal section of jejunum by "end-to-side" type. The method enables to provide adequate motor-evacuatory function of duodenum.;EFFECT: higher efficiency of therapy.;3 dwg, 1 ex