RECONSTRUCTION OF THE DIGESTIVE TRACT IN ADVANCED GASTRIC CANCER AFTER GASTRECTOMY WITH THE FORMATION OF AN ARTIFICIAL RESERVOIR BY HOFFMAN

The article contains the results of the first clinical experience of application of original method of surgical treatment of stomach cancer by performing a gastrectomy and formation of artificial jejunum reservoir. The relevance of the study consists in the imposition of a submerged organ of the eso...

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Autores principales:	A. M. Popov, G. T. Dambaev, V. V. Skidanenko, N. E. Kurtseitov, L. S. Mamontova
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	gastrectomy anti-reflux anastomosis stomach cancer Science Q
Acceso en línea:	https://doaj.org/article/19125a4de0e54be983742a8c15bbd6e7
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spelling	oai:doaj.org-article:19125a4de0e54be983742a8c15bbd6e72021-11-23T06:14:39ZRECONSTRUCTION OF THE DIGESTIVE TRACT IN ADVANCED GASTRIC CANCER AFTER GASTRECTOMY WITH THE FORMATION OF AN ARTIFICIAL RESERVOIR BY HOFFMAN2541-94202587-959610.12737/article_5a0a8dbcafa6a2.60515042https://doaj.org/article/19125a4de0e54be983742a8c15bbd6e72017-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/487https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article contains the results of the first clinical experience of application of original method of surgical treatment of stomach cancer by performing a gastrectomy and formation of artificial jejunum reservoir. The relevance of the study consists in the imposition of a submerged organ of the esophageal-jejunal anastomosis hanging down the lumen of the organ, anastomosing the stump of the pancreas with the jejunum by "end-to-side" type, with a mucosal mucosa seam with a sleeve-shaped anastomosis peritoneisation and a lean jejunum loop at the level of the choledochus stump - creating anti-reflux "end-to-side" choledochojejunoanastomosis, followed by the formation of Braun anastomosis with 20 cm reservoir, by Hoffman's stomach type, performing a function of the removed stomach. The method proposed by the authors of the present study is based on more than 15years of practice in the use of refluxing anastomoses in trans-abdominal surgery and 70-year-old practice of applying diaphragm crurotomy by A.G. Savinykh, as the only method of access to the esophagus. The treatment results were assessed using X-ray contrast techniques, endoscopic and ultrasound equipment, as well as traditional laboratory, radiographic and clinical tests. The results of treatment of 6 patients in terms from 6 months to 5years were estimated. Successful outcome of the surgery was achieved in all cases. The effectiveness of the intervention is confirmed throughout the range of clinical and instrumental criteria used. The authors conclude that the method shows a good clinical perspective.A. M. PopovG. T. DambaevV. V. SkidanenkoN. E. KurtseitovL. S. MamontovaScientific Сentre for Family Health and Human Reproduction Problemsarticlegastrectomyanti-reflux anastomosisstomach cancerScienceQRUActa Biomedica Scientifica, Vol 2, Iss 6, Pp 146-152 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	gastrectomy anti-reflux anastomosis stomach cancer Science Q
spellingShingle	gastrectomy anti-reflux anastomosis stomach cancer Science Q A. M. Popov G. T. Dambaev V. V. Skidanenko N. E. Kurtseitov L. S. Mamontova RECONSTRUCTION OF THE DIGESTIVE TRACT IN ADVANCED GASTRIC CANCER AFTER GASTRECTOMY WITH THE FORMATION OF AN ARTIFICIAL RESERVOIR BY HOFFMAN
description	The article contains the results of the first clinical experience of application of original method of surgical treatment of stomach cancer by performing a gastrectomy and formation of artificial jejunum reservoir. The relevance of the study consists in the imposition of a submerged organ of the esophageal-jejunal anastomosis hanging down the lumen of the organ, anastomosing the stump of the pancreas with the jejunum by "end-to-side" type, with a mucosal mucosa seam with a sleeve-shaped anastomosis peritoneisation and a lean jejunum loop at the level of the choledochus stump - creating anti-reflux "end-to-side" choledochojejunoanastomosis, followed by the formation of Braun anastomosis with 20 cm reservoir, by Hoffman's stomach type, performing a function of the removed stomach. The method proposed by the authors of the present study is based on more than 15years of practice in the use of refluxing anastomoses in trans-abdominal surgery and 70-year-old practice of applying diaphragm crurotomy by A.G. Savinykh, as the only method of access to the esophagus. The treatment results were assessed using X-ray contrast techniques, endoscopic and ultrasound equipment, as well as traditional laboratory, radiographic and clinical tests. The results of treatment of 6 patients in terms from 6 months to 5years were estimated. Successful outcome of the surgery was achieved in all cases. The effectiveness of the intervention is confirmed throughout the range of clinical and instrumental criteria used. The authors conclude that the method shows a good clinical perspective.
format	article
author	A. M. Popov G. T. Dambaev V. V. Skidanenko N. E. Kurtseitov L. S. Mamontova
author_facet	A. M. Popov G. T. Dambaev V. V. Skidanenko N. E. Kurtseitov L. S. Mamontova
author_sort	A. M. Popov
title	RECONSTRUCTION OF THE DIGESTIVE TRACT IN ADVANCED GASTRIC CANCER AFTER GASTRECTOMY WITH THE FORMATION OF AN ARTIFICIAL RESERVOIR BY HOFFMAN
title_short	RECONSTRUCTION OF THE DIGESTIVE TRACT IN ADVANCED GASTRIC CANCER AFTER GASTRECTOMY WITH THE FORMATION OF AN ARTIFICIAL RESERVOIR BY HOFFMAN
title_full	RECONSTRUCTION OF THE DIGESTIVE TRACT IN ADVANCED GASTRIC CANCER AFTER GASTRECTOMY WITH THE FORMATION OF AN ARTIFICIAL RESERVOIR BY HOFFMAN
title_fullStr	RECONSTRUCTION OF THE DIGESTIVE TRACT IN ADVANCED GASTRIC CANCER AFTER GASTRECTOMY WITH THE FORMATION OF AN ARTIFICIAL RESERVOIR BY HOFFMAN
title_full_unstemmed	RECONSTRUCTION OF THE DIGESTIVE TRACT IN ADVANCED GASTRIC CANCER AFTER GASTRECTOMY WITH THE FORMATION OF AN ARTIFICIAL RESERVOIR BY HOFFMAN
title_sort	reconstruction of the digestive tract in advanced gastric cancer after gastrectomy with the formation of an artificial reservoir by hoffman
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/19125a4de0e54be983742a8c15bbd6e7
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RECONSTRUCTION OF THE DIGESTIVE TRACT IN ADVANCED GASTRIC CANCER AFTER GASTRECTOMY WITH THE FORMATION OF AN ARTIFICIAL RESERVOIR BY HOFFMAN

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