COMBINED METHOD OF TREATMENT OF ADIPOSITY USING BILIOPANCREATIC SHUNTING USING SHORT LOOP Russian patent published in 2008 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: make a laparotomy incision. Mobilise the stomach. Carry out longitudinal resection of the stomach to the His angle. In an omentulum make a window at level of the middle third of stump of a body of stomach. Pull a polypropylene grid of the size not less than 7.0×1.5 cm through the window behind the stomach. Bring the extremeties together in the form of ligature and stitch. Frame an anastomosis between small and big parts of the generated stomach with internal diameter not less than 12 mm. Thus also form a small ventricle in volume of 50-80 ml and the pseudo-gatekeeper. Cross a duodenum on distance 2-3 cm below pylorus. Form alimentary, biliopancreatic and general loops. The length of the biliopancreatic loop has 60 cm. At an index of mass of a body less than 50 kg/m², the length of an alimentary loop consists 100 cm. At an index of mass of a body more than 50 kg/m² - 150 cm.

EFFECT: allows improving comfort of food, to strengthen a restrictive component, to lower risk of development of round ulcers of a gastroenteroanastomosis, to reduce metabolic disturbances, to prevent a dumping syndrome and a diarrhoeia, to dilate indications to the combined operations.

2 dwg, 1 ex