FIELD: medicine, surgical gastroenterology.
SUBSTANCE: in case of megaduodenum at the stage of decompensation on should mobilize duodenum and proximal part of jejunum, remove pathologically altered duodenum together with duodenojejunal transition and initial department of jejunum, save either major or minor duodenal papillae and the wall around them, perform jejunoduodenoplasty of duodenojejunal anastomose, carry out transposition of kept department into jejunal wall. Moreover, one should form end-to-ansa or end-to-side duodenojejunal anastomosis. The innovation provides radical treatment of decompensated chronic duodenal megaduodenum-specified obstruction.
EFFECT: higher efficiency of therapy.
23 dwg, 2 ex
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