[Gastrectomy with the intestinal reservoir formation as a method of prophylaxis of the main postgastrectomy complications].
In oncological clinic there was elaborated and introduced into the practice a new technology of a gut reconstruction in patients with gastric cancer while gastrectomy performance, which include the intestinal reservoir formation using first part of jejunum. Technology of the intestinal reservoir formation is not a complex one, the operative intervention time, in comparison to that in a standard loop reconstruction while gastrectomy performance, increases by (33.2 +/- 3.4) min, the blood loss volume constitutes (370.7 +/- 133.2) ml. Complications, occurring after intestinal reservoir formation, were not observed. Damping--syndrome of a mild degree have occurred in 4 (5.9%) patients. The gas bladder restoration have had secured a closure mechanism of the oesophagointestinal junction zone restoration, thus eliminating a reflux-oesophagitis occurrence. Suturing of the abducting flexure of a two-barrel jejunal loop eliminates the abducting intestinal loop syndrome occurrence. The quality of life index in 12 months postoperatively had constituted (82.9 +/- 2.2) points.
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Oleksenko
D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D011184:Postoperative Period; D011788:Quality of Life; D013274:Stomach Neoplasms / Q000601:surgery*