FIELD: medicine, surgery.
SUBSTANCE: one should cross jejunum at the distance of 4-5 cm against Treitz' ligament, distal end should be applied through mesocolonic foramen into duodenal projection to be withdrawn onto anterior abdominal wall as a terminal jejunostoma. Teflon tube should be introduced there for enteral nutrition. Out of proximal end one should develop interintestinal anastomosis at the distance of 5-6 cm against jejunostoma. After correcting metabolic and morphological disorders at the second stage of therapy one should eliminate jejunostoma and restore intestinal permeability by forming anastomosis between duodenum and distal section of jejunum by "end-to-side" type. The method enables to provide adequate motor-evacuatory function of duodenum.
EFFECT: higher efficiency of therapy.
3 dwg, 1 ex
| Title | Year | Author | Number |
|---|---|---|---|
| METHOD TO TREAT DUODENAL ATRESIA | 1994 |
|
RU2074647C1 |
| OPERATIVE THERAPY OF PATIENTS WITH GASTRODUODENOSTOMIA PEPTIC ULCERS AFTER CONSERVATIVE SURGERY | 2006 |
|
RU2325853C2 |
| METHOD OF PREVENTING SUTURE FAILURE AFTER RE-SEWING OF DUODENUM WOUNDS IN CONDITIONS OF DIFFUSE PURULENT PERITONITIS | 2006 |
|
RU2428130C2 |
| METHOD OF SURGICAL TREATMENT OF DUODENAL FISTULA IN CASE OF FAILURE OF STOMACH RESECTION STUMP AND GASTRECTOMY | 2010 |
|
RU2452411C1 |
| METHOD OF INCOMPETENCE DUODENUM STUMP | 0 |
|
SU1646543A1 |
| METHOD OF OPERATIVE AID TO PATIENTS TO EXCLUDE PASSAGE OF FOOD MASS IN DUODENUM | 2011 |
|
RU2506911C2 |
| METHOD FOR DISTAL GASTRIC RESECTION | 2006 |
|
RU2290879C1 |
| METHOD OF SURGICAL TREATMENT OF EXTERNAL DUODENAL FISTULA | 2007 |
|
RU2375970C2 |
| METHOD OF TREATING PATIENTS WITH TOTAL NECROSIS OF SMALL INTESTINE | 2010 |
|
RU2448659C2 |
| METHOD FOR TREATING HIGH ATRESIA OF DUODENUM | 2001 |
|
RU2207058C2 |
