ABSTRACT
The authors made an analysis of using a one-layer uninterrupted suture with a synthetic absorbable thread in forming gastrointestinal, intestinal, duodenojejunal and pancreatojejunal anastomoses. The operation technique and early complications are described showing advantages of the one-layer uninterrupted suture with a synthetic thread.
Subject(s)
Digestive System Surgical Procedures/methods , Gastrointestinal Diseases/surgery , Intestines/surgery , Suture Techniques/instrumentation , Sutures , Anastomosis, Surgical/methods , Equipment Design , HumansABSTRACT
Experience in enteral tube feeding (ETF) early after stomach resection, gastrectomy, reconstructive surgeries for chronic duodenal obstructions and postgastroresection disorders in 1716 patients is presented. Irrigators were installed in the jejunum during surgery, more rarely--through gastroscope below distal anastomosis. During the first day saline solutions were administered, further--nutritional cocktails. Period of ETF was 5.8 +/- 0.8 days in uncomplicated postoperative period and from 9 to 73 days in postoperative complications. ETF stimulates motor, resorption, synthetic, barrier functions of the small intestine. ETF permits to improve immediate results of stomach and duodenum surgery and to reduce cost of treatment.
Subject(s)
Duodenum/surgery , Enteral Nutrition/methods , Postoperative Care/methods , Stomach/surgery , Duodenal Obstruction/surgery , Duodenum/physiopathology , Enteral Nutrition/economics , Female , Gastrectomy , Hemodynamics , Humans , Infusions, Parenteral , Intubation, Gastrointestinal , Male , Nutritional Status/physiology , Postoperative Care/economics , Postoperative Complications , Stomach/physiopathology , Stomach Neoplasms/surgery , Time Factors , Treatment OutcomeABSTRACT
A new variety of the esophago-intestinal anastomosis in gastrectomy is presented. The application of the anastomosis begins with formation of the cuff around the esophagus by the usage of the afferent and efferent loops, which then being joined together in a shape f reservoir. A total of 113 patients with cancer of the stomach (83), cancer of the gastric stump (10), giant ulcers of the cardial part of the stomach complicated by bleeding (15), and Zollinger-Ellison (5) syndrome have been operated on. Insufficiency of the anastomosis was revealed in 2 patients (1.8%). 6 patients (5.1%) died, 1 patient with insufficiency of the esophageal anastomosis included. There were no clinical manifestations and objective features of reflux-esophagitis after the usage of the suggested method for anastomosis, the reservoir function after the resection of the stomach was for the most part compensated.
