FIELD: medicine, abdominal surgery. SUBSTANCE: one should resect either stomach or its stump; retrocolonic gastroanastomosis is applied with mobilized intestinal loop. Then one should mobilize jejunoduodenaltransition by crossing pedicles of Treitz ligament. Double exclusion of duodenum is carried out. Duodenum is drained into abducting loop of gastroenteroanastomosis. For drainage, moreover, one should form anastomosis for one third against the length of jejunal circle. Abducting loop of gastroenteroanastomosis is similar to anatomical position of duodenum. EFFECT: more efficient drainage of duodenum. 1 dwg
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Authors
Dates
2003-06-27—Published
2000-12-18—Filed