[Gastrectomy with end-loop jejunogastroplasty in stomach cancer].
Experience with surgical treatment of 147 patients after gastrectomy with jejunogastroplasty and creation of end-loop esophageal-intestinal anastomosis is analyzed. Original methods of jejunogastroplasty are based on end-loop construction of esophageal-intestinal anastomosis simulating anatomic-functional analog of lost cardia and pylorus and replacing reservoir function of the stomach. One year and later after surgery 83 patients with end-loop esophageal-intestinal anastomosis and 73 patients with anastomosis were examined. It is demonstrated that jejunogastroplasty with end-loop anastomosis is characterized by low frequency (6%) and degree of reflux-esophagitis. Passage of food through duodenum in end - loop jejunogastroplasty decreases frequency and degree of demping-syndrome. Active isolating function of end-loop anastomosis was demonstrated with x-ray and manometric methods. Primary jejunogastroplasty with end-loop anastomosis leads to reduction of frequency and severity of postoperative pathological syndromes and permits to improve quality life of operated patients.
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Onopriev
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Uvarov
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000601:surgery*