METHOD FOR TREATING DUODENAL STUMP AT GASTRIC RESECTION TO EXCLUDE THE ULCER Russian patent published in 2006 - IPC A61B17/00 

FIELD: medicine, urgent abdominal surgery.

SUBSTANCE: one should squeeze with a clamp an antral gastric department at the distance of about 4-5 cm against pylorus, below the clamp one should dissect both serous and muscular membranes up to mucosa to apply a clamp onto stump's mucosa; serous and muscular membranes should be separated against mucosa up to pylorus; then it is necessary to remove the mucosa of antral gastric department, dissect anterior fragment up to pylorus, suture in duodenal mucosa with mucous-submucous sutures, suture together pyloric muscular membrane and that of posterior fragment; posterior fragment should be inverted to the right to be sutured to pylorus and duodenum. At anterior pyloric wall one should make incisions of serous membrane being parallel to circular fibers; through both incisions in muscular layer it is necessary to fulfill tunnelization bluntly, direct posterior fragment into the tunnel. Incisions of serous membrane in peculiar case should be fulfilled at the length of 3.5-4.0 cm. The method keeps circulation and stump's hermetic nature.

EFFECT: higher efficiency.

1 cl, 5 dwg, 1 ex