FIELD: medicine.
SUBSTANCE: method involves carrying out invaginating end-to-end esophagocoloanastomosis with large intestine graft on vascular pedicle. Isolated area is cut out from distal graft portion. It is cut along edge opposite to mesentery. Mucosubmucous layer is excised with blood-supplied seromuscular layer being retained due to mesenterial blood vessels. Region deprived of mucous membrane is sutured with corrugating sutures in tube-like manner. The tube is fixed around the distal graft portion. Coloduodenal end-to-end anastomosis is created between distal large intestine graft end and duodenum stump.
EFFECT: reduced frequency and severity degree of postgastrectomy syndromes.
12 dwg
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