FIELD: medicine, surgical gastroenterology.
SUBSTANCE: one should dissect ulcerous focus, perform selective proximal vagotomy, cross small intestine being about 10-20 cm below Treitz' ligament, apply distal end through mesocolonic foramen towards the defect in proximal part, remove the defect with intestinal end by "end-to-side" enteroduodenal anastomosis, apply small intestine along vertical, inferior horizontal part of duodenum and initial part of small intestine being below mesenteric root of large intestine, suture in a mesenteric foramen in large intestine. The method enables to keep natural pyloropapillary space, the integrity of nervous-muscular bridge even in one out of intact duodenal walls.
EFFECT: higher efficiency of therapy.
18 dwg, 1 ex
