METHOD FOR CLOSING DUODENUM WALL DEFECT IN PERFORMING DISTAL STOMACH RESECTION ON THE OCCASION DUODENAL ULCER RECURRENCE IN PATIENTS SUBJECTED TO STUMP VAGOTOMY WITH JABULEY GASTRODUODENAL ANASTOMOSIS Russian patent published in 2002 - IPC

FIELD: medicine. SUBSTANCE: method involves separating the stomach and duodenum. The ulcer is dissected. Gastroduodenal anastomosis is eliminated with one defect being formed. 2/3 of the stomach is resected. Jejunal loop is formed with intestine-to-intestine Roux anastomosis built. Duodenum wall carrying ulcer is dissected. Anastomosis is built between the duodenal defect and obliquely longitudinally cut lateral wall of the distal jejunum segment. The gastrojejunal anastomosis is built next to it at least 15 cm apart from the duodenojejunal anastomosis. EFFECT: prevented duodenal wall defect suture inconsistency. 2 dwg