FIELD: medicine; surgery.
SUBSTANCE: stenosis is excised. Defect is sutured. Thus dilatated nonfunctioning pylorus is separated in successive steps from cicatrical adhesive thickenings. Cross duodenotomy is applied through bulbar stenosis area. Cicatrix or ulcer affected walls of duodenal cap are excised. Posterior wall site of duodenal cap is demucosated. Serous- muscular-submucosal suture is precision-applied with monolithic thread. Anastomosis is formed on bed from demucosated site of posterior wall of duodenal cap.
EFFECT: method allows for maintained gastric digestion for patients of certain category; for duodenal wound healing as primary tension and for reduced number of inconsistencies of anastomosis posterior lip.
3 dwg, 1 ex
Authors
Dates
2008-10-20—Published
2007-02-19—Filed