[Formation of horizontal esophago-small intestine anastomosis in gastrectomy for cancer]. / Formirovanie gorizontal'nogo pishchevodno-tonkokishechnogo anastomoza pri gastréktomii po povodu raka.

A new modification of horizontal esophago-enterostomy has been introduced into clinical practice. The operative techniques is described in detail. Gastrectomy was performed in 76 patients for carcinoma; there were 49 males and 27 females whose ages ranged from 39 to 70 years. Such complications as incompetence of the sutures of the anastomoses did not occur in the immediate postoperative period. Examination of patients in follow-up periods of 4 weeks to 2 years after the operation revealed neither cicatricial stenosis of the esophago-enteric anastomosis nor reflux esophagitis.

[The importance of esophagojejunogastroplasty in the surgical treatment of cancer of the proximal stomach]. / O znachenii ézofagoeiunogastroplastiki pri khirurgicheskom lechenii raka proksimal'nogo otdela zheludka.

The study discusses the efficacy of a new method of esophagojejunogastroplasty during subtotal and maximum subtotal proximal resections of the stomach. The surgical technique is described in detail. Seventeen patients aged 47-70 years were operated on for stage II-III cancer of the cardia, subcardia and fundus of the stomach. Extensive sagittal diaphragmotomy was performed in 15 cases whereas two patients were operated on through the combined abdomino-thoracic access. Pancreonecrosis and unrecognized microperforation of the gallbladder accounted for two fatalities whereas the other 15 patients were discharged from the clinic in good condition. They were followed for 1-30 months and, within this period, no postresection disorders such as reflux-esophagitis, cicatricial stricture of esophageal anastomosis or dumping syndrome were observed.