[Prophylaxis of esophageal reflux after gastrectomy and proximal stomach resection].
498 operations are analyzed. Simplified invagination with shuttle suture is the advantage of proposed method. Postoperative complications were seen in 18.3% patients, lethality was 3.6%. Mild reflux-esophagitis was revealed in 8 (4.9%) of 162 examined patients, cicatricial stricture of I-II degree--in 19 (11.7%) patients. The proposed esophageal-gastric and esophageal-intestinal invagination anastomoses are easy, to make, safe, have high antireflux effect. This modification of invagination anastomoses is recommended in proximal stomach resection and gastrectomy.
Demin
D I
DI
Tarasevich
A D
AD
Urazov
N E
NE
V'iushkov
D M
DM
Minaev
I I
II
Karpenko
A D
AD
Fedosenko
S I
SI
D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D007443:Intussusception / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D013270:Stomach / Q000601:surgery*