FIELD: medicine.
SUBSTANCE: invention relates to surgery and may be useful for laparoscopic staple-free gastric bypass surgery for the treatment of obesity. After carrying out an elastic band around the stomach, its front wall is moved upwards through the bandage to create a small ventricle only at the expense of the front wall, then the bandage tightly tightens the protrusion of the anterior wall of the stomach while maintaining its patency with the esophagus, then fix and completely cover the bandage along the external surface of the stomach with serous-muscular sutures, form a manual gastroenteroanastomosis between the small ventricle and the loop of the small intestine, while creating a short and long detached knee loops of the small intestine without tension of the tissues, between which a manual intercuscular anastomosis is applied, and the lumen of the knee-loop of the small intestine below the gastroenteroanastomosis and above the intercusive anastomosis is tightly sealed with a non-absorbable suture material.
EFFECT: method allows to exclude bile reflux into a small stomach.
1 cl, 1 dwg, 1 ex
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Authors
Dates
2018-10-11—Published
2017-11-20—Filed