FIELD: medicine.
SUBSTANCE: pancreatojejunoanastomosis is formed. A partial plug as per Shalimov is created at the proximal site of the isolated loop of the jejunum, 5-6 cm from the longitudinal PEA. The intestine portion is ligated on a drainage with a diameter of 8-12 mm with subsequent invagination of the bandaged part of the intestine with seroserous sutures. The drainage is removed. A transverse incision of the anterior wall of the descending part of the PDC for anastomosis application from an isolated loop of the jejunum is performed 2-3 cm below the projection of the palpable large duodenal papilla.
EFFECT: improvement of the treatment method.
3 dwg
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Authors
Dates
2017-09-11—Published
2016-04-26—Filed