FIELD: medicine. SUBSTANCE: method involves carrying out pylorus-saving stomach resection with tubular stomach resection in 2/3 of volume. Blood supply and pylorus innervation is retained. Mucous membrane and submucous base is excised from distal gastric stump. 0.3-0.5 cm of duodenal submucous base is separated. Seromuscular layer is excised from distal gastric tube equal to demucosed pyloric canal in length. Edges of gastric submucous base and duodenal one are end-to-end joined with micro-suture. The second micro-surgical suture row is applied with the distal and proximal portions of the stomach being caught and also end-to-end juxtaposed. EFFECT: enhanced effectiveness in reducing acid production; prevented motor evacuation disorders. 4 dwg
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Authors
Dates
2003-04-10—Published
2001-06-22—Filed