NEW FORMING TECHNOLOGY FOR REFLUXING ESOPHAGEAL-INTESTINAL ANASTOMOSIS IN GASTRECTOMY SURGERY AND HOFFMAN’S STOMACH PLASTIC SURGERY

The paper reports the results of the first clinical practice of application of an original surgical method for treatment of gastric cancer by performing gastrectomy and forming an artificial jejunal reservoir that executes the function of the removed stomach with the Brown’s extended ileoileal anastomosis up to 25 cm long by the type of Hoffmann's ventricle. The formed reservoir is fixed by nodular sutures of the mesocolon window. The relevance of the study lies in the application of a submersible (hanging in the lumen) reservoir of esophageal-jejunal anastomosis. The proposed method is based on more than 15-year practice of using anti-reflux anastomoses in abdominal surgery and 70-year practice of using Savinykh diaphragm surgery - the only method of trans-abdominal access to esophagus. The results of treatment were evaluated by X-ray contrast techniques, endoscopic techniques, and ultrasound data, as well as traditional laboratory, X-ray, and clinical tests. The results of treatment of 9 patients in terms of 6 months to 5 years were evaluated. The successful result of operation was achieved in 92% of patients. The efficiency of the intervention was confirmed by the whole range of clinical and instrumental criteria used. The authors conclude that the method demonstrates good results and promising use.

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