METHOD FOR TREATING THE CASES OF CHRONIC PEPTIC GASTRIC ULCER PENETRATING INTO SMALLER OMENTUM

摘要

FIELD: medicine. SUBSTANCE: method involves making pylorus-retaining stomach resection. The gastrohepatic omentum is mobilized in parietal way. The posterior and anterior leaves are sutured and ligated below and above the penetration place. Incision is made in the seromuscular tunic 5 mm apart from the penetrate in parallel to lesser curvature. Cicatricially transformed tissues are excised in the penetration area. Tongue-shaped seromuscular graft is produced in forming distal stump of the stomach the base of which is turned towards the pylorus. The graft has distal branches of Latarjet nerve. The graft is separated from stomach wall. Clamp is set on the gastric mucous membrane near the graft base. Gastro-gastric anastomosis is built. The graft is applied to the built lesser curvature of the stomach. The graft is fixed with sutures to the lesser curvature. EFFECT: enhanced effectiveness of treatment; retained Latarjet nerve. 2 dwg