FIELD: medicine; abdominal surgery; gastroenterology.
SUBSTANCE: small intestine is transected in the middle, and the adducting end is pulled to the ileum, and the abducting end is pulled to the ligament of Treitz. An end-to-side or side-to-side anastomosis is performed on both sides. Parietal peritoneum is dissected, and anastomoses and part of intestine are immersed into retroperitoneal fat. Both parts of the intestine are laid in parallel; one to four additional side-to-side anastomoses are formed between the parallel portions of the small intestine.
EFFECT: method provides creating a duplicate passage of the chyme with preserving the total area of absorption, which considerably reduces the probability of episodes of intestinal obstruction.
1 cl, 6 dwg, 1 ex
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