METHOD FOR ESOPHAGOJEJUNOANASTOMOSIS AT GASTRECTOMY

摘要

FIELD: medicine, surgery.;SUBSTANCE: one should suture both adducting and abducting intestinal parts with separate sutures without any primary fixation of esophagus to an abducting intestine. Then one should apply esophagointestinal anastomosis. Moreover, by applying external suture of anastomosis' anterior wall one should suture serous-muscular layer of adducting intestine, esophageal muscular layer and serous-muscular layer of abducting intestine. After covering internal anterior row of sutures and nearing the walls of abducting and adducting intestinal loops one should apply 2-3 serous-muscular sutures on them at the top. On should finish the development of a cuff due to both adducting and abducting part of small intestine. The suggested method enables to decrease intraluminal pressure in duodenum, decrease the risk of duodenal stump's failure, and obtain antireflux-type mechanism of anastomosis.;EFFECT: more simplified and shortened terms for applying the anastomosis.;1 ex