| 摘要 |
FIELD: medicine. ^ SUBSTANCE: invention relates to surgery and can be used for formation of areflux esophageal-enteric anastomosis. T-shaped loop is formed on sutured abduction small intestine at the distance 50-60 cm from the level of transaction. Esophageal-enteric anastomosis is formed by dissection of adduction and abduction parts of intestine of adjacent sleeve with length equal to two its diameters, sewing esophagus end with adjacent edges of opened loops in upper part with interrupted sutures. Valve is created by sewing from above edges of dissected parts of small intestine on value of esophageal orifice diameter. Muco-serous uninterrupted suture of small intestine is applied lower than formed esophageal-intestinal anastomosis. Reservoir in form of ring-shaped adduction loop of small intestine is formed by application of interintestinal anastomosis side-to-side between displaced sutured end of adduction part of small intestine and lumen of abduction and adduction loops of small intestine lower than formed valve. Formed reservoir is anastomosed into duodenum by application of duodeno-jejunal anastomosis end-to-side. ^ EFFECT: method makes it possible to improve physiology of digestion, prevent development of damping-syndrome. ^ 2 ex |
