METHOD OF SURGICAL TREATMENT OF MORBID OBESITY Russian patent published in 2018 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: in the surgical treatment of morbid obesity by mini-gastro-bypass surgery, the contact pH measurement of the stomach sections is performed presurgery. The border of the gastric mucosa with a pH level of more than 3.0 is determined. On this border, 1 ml of methylene blue is injected into the submucosa of the anterior wall of the stomach through the endoscope's operating channel. The part of the stomach is cut at a marked level in the transverse direction by the width 6 cm, then in the longitudinal to the bottom of the stomach. A two-chamber stump of the stomach is formed. The stomach volume on the probe by screwing single endosutures with a non-absorbable suture material is calibrated. A loop of the small intestine is brought to the stomach at a distance of 180 cm from the duodenum. The lumens of the organs with a cut length 3.5 cm is opened up. A single-row serous-muscular-submucosal gastroenteroanastomosis is stitched.

EFFECT: reliable results in the treatment of morbid obesity, a decrease in the risk of entero-gastric and gastroesophageal reflux, the development of reflux-esophagitis, peptic ulcers in the area of anastomosis.

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