Гастроеюнодуоденостомия в профилактике и лечении несостоятельности культи двенадцатиперстной кишки после резекции желудка по поводу язвенной болезни

Abstract

Conclusion. The positive aspects of the gastrojejunoduodenostomy are: universality – the possibility of application both in case of "difficult" stump, and in case of its incompetence treatment; simplicity – the surgeon only cuts and creates anastomoses without any plasty or cutouts, etc.; applicability for "low" and juxtapapillary ulcers – suturing of the small intestine to the stump which is possible even along 1 mm wide edge of the mucous membrane; applicability in the absence of the anterior wall of the duodenum – after previously applied Finney and Jaboulay pyloroplasty, after the Judd’ excision of the perforated ulcer; plastic properties – the use of a well-perfused loop of the small intestine to close a defect with inflamed edges is akin to a skin flap transplantion onto a wound; decompression of the duodenum; reduodenization of food passage