JEJUNOGASTROPLASTY IN RECONSTRUCTIVE SURGERY OF THE OPERATED STOMACH (LITERATURE REVIEW)
https://doi.org/10.17238/issn2223-2427.2019.1.68-75
Abstract
The study of the immediate and long-term results of surgical treatment of diseases of the stomach, conducted by many authors, shows that a certain number of patients have a number of functional and organic disorders that not only reduce the quality of life of the patient, but can also cause disability or even death. It is considered that one of the most important pathogenetic factors in the development of the disease of the operated stomach is a way to restore gastroin-testinal continuity. A major role is played by the elimination of the pylorus and duodenal passage, which “is, - as Ivan Petrovich Pavlov wrote, a grave violation of the unity of the digestive system.”
Currently in the literature there are more than 70 names and terms denoting the manifestation of the disease of the operated stomach: dumping syndrome, afferent loop syndrome, agastral asthenia, hypoglycemic syndrome, etc. However, it should be recognized that all of them reflect only a part of the problem are postgastrectomy and postgastrectomy disorders.
The importance of this problem is also due to the fact that in some patients, after gastrectomy, severe digestive disorders develop, leading in almost 25% of cases to permanent disability. In this case, often the only possible method of treatment is reconstructive surgery performed at various times after the initial intervention.
About the Authors
D. V. Ruchkin
A.V. Vishnevsky National Research Scientific Surgical Center
Russian Federation
Russian Federation
Ruchkin Dmitry Valerievich – doct. of med. scie., the chief of the upper digestive tract reconstructive surgery department
Moscow, 117997
V. A. Kozlov
A.V. Vishnevsky National Research Scientific Surgical Center
Russian Federation
Russian Federation
Kozlov Valentin Aleksandrovich – graduate student specialty «surgery»
Moscow, 117997
A. A. Nitkin
A.V. Vishnevsky National Research Scientific Surgical Center
Russian Federation
Russian Federation
Nitkin Alexey Anatolyevich – research fellow of the upper digestive tract reconstructive surgery department
Moscow, 117997
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For citations:
Ruchkin D.V., Kozlov V.A., Nitkin A.A. JEJUNOGASTROPLASTY IN RECONSTRUCTIVE SURGERY OF THE OPERATED STOMACH (LITERATURE REVIEW). Surgical practice (Russia). 2019;(1):68-75. (In Russ.) https://doi.org/10.17238/issn2223-2427.2019.1.68-75
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