METHOD FOR ESOPHAGOENTEROPLASTY IN CASE OF GASTRIC CANCER AND TUMOR-INDUCED DUODENAL STENOSIS

摘要

FIELD: medicine, surgery.;SUBSTANCE: one should perform palliative gastrectomy, cross small intestine at not less than 1 m against duodenojejunal curvature, apply adducting and abducting loops through mesenteric opening of cross-sectional colon, apply an esophago-small intestinal "end-to-end" anastomosis onto abducting loop, anastomose an "end-to-side" adducting loop to abducting one being 30 cm against an esophagoenteroanastomosis, suture up the loop being 50 cm against duodenojejunal curvature to peritoneum of anterior abdominal wall by forming an enterostoma, form an "end-to-side" duodenoenteroanastomosis being 30 cm against the enterostoma along the peristaltics, apply a "side-to-side" anastomosis being 5 cm against duodenojejunal curvature between both abducting and adducting intestinal loops. The method enables to drain the segment being above obstruction area.;EFFECT: higher efficiency.;1 dwg, 1 ex