METHOD FOR SURGICAL TREATMENT OF CHRONIC DUODENAL OBSTRUCTION

摘要

FIELD: medicine, surgical gastroenterology. SUBSTANCE: one should resect distal segment of duodenum or duodenojejunal transition. Superior mesenteric vessels are mobilized to place them retroduodenally. One should apply either terminoterminal duodenoduodenoanastomosis or duodenojejunoanastomosis. For invagination of anastomosis' posterior wall one should develop its excess between 1st and 2nd rows of sutures. Anterior wall is invaginated with sutures-holders and invaginating device. The present innovation enables to remove chronic duodenal obstruction, prevent anastomosis' failure, anastomosis and jejunoduodenal reflux. EFFECT: higher efficiency of surgical therapy. 8 dwg, 3 ex