METHOD FOR CREATING GASTRODUODENAL ANASTOMOSIS

摘要

FIELD: medicine. SUBSTANCE: method involves producing a tube having its diameter equal to that of the duodenum from the greater curvature of the stomach. Circular incision in seromuscular layer 0.5-0.7 cm below the pylorus. 1 cm of the layer is separated. Duplicature is created from the duodenal seromuscular envelope. The duodenum is transected. Mucosubmucous envelope is excised from the distal stomach stump at the extent of 1.5-2 cm. Excised mucosubmucous envelope length is equal to seromuscular envelope duplicature length. Submucous base edges of the duodenum and stomach stump are juxtaposed. The duodenal duplicature is covered with seromuscular envelope of the stomach stump. EFFECT: reliability of anastomosis tightness. 3 dwg