Preview

Acta Biomedica Scientifica

Advanced search

Application of diaphragm crurotomy by A.G. Savinykh at the reconstruction of oesophagealintestinal anastomosis after gastrectomy

Abstract

We report the analysis of the results forming esophageal-jejunal anastomosis in 19 patients with postgastrectomy syndrome after radical treatment of gastric cancer. Diaphragm crurotomy technically facilitates the formation of the anastomosis. The results of a comprehensive survey show that the healing of the esophageal-intestinal anastomosis is held by the type of primary tension in 16 (84,2%) operated patients, and in the late postoperative period shows no sign of stenosis of the anastomotic ring and the last remains elastic, performing closing function. Up to 1 year after surgery the overall quality of life in patients increased on average by 7,5% and amounted to 112,6 ± 5,1 points. Three years after surgery index tended to increase, reaching an average of 120,2 ± 4,1 points.

About the Authors

N. E. Kurtseitov
Siberian State Medical University
Russian Federation


G. T. Dambaev
Siberian State Medical University
Russian Federation


A. P. Koshel
Zherlov Medical Center
Russian Federation


A. N. Vusik
Siberian State Medical University
Russian Federation


M. M. Solovyov
Siberian State Medical University
Russian Federation


References

1. Дамбаев Г.Ц., Кошель А.П., Соловьев М.М., Куртсеитов Н.Э. и др. Постгастрорезекционные синдромы как проблема реконструктивной хирургии // Вопросы реконструктивной и пластической хирургии. -2012. - Т. 15, № 1. - С. 51-55. Dambaev G.T., Koshel A.P., Solovyov M.M., Kurtseitov N.E. et al. (2005). Postgastrectomy syndromes as a problem of reconstructive surgery [Postgastrorezekcionnye sindromy kak problema rekonstruktivnoj hirurgii]. Voprosy rekonstruktivnoj i plasticheskoj hirurgii, 15 (1), 51-55.

2. Жерлов Г.К., Кошель А.П., Зыков Д.В. и др. Способ хирургического лечения рефлюкс-эзофагита при операции реконструктивной еюногастропластики после гастрэктомии: Патент РФ № 2148958. - 2000. -Бюл. № 8. - С. 21-27. Zherlov G.K., Koshel A.P., Zykov D.V. et al. (2000). Method of surgical treatment of reflux esophagitis at the reconstructive jejunogastroplasty after gastrectomy: Patent of Russian Federation N 2148958 [Sposob hirurgicheskogo lechenija refljuks-jezofagita pri operacii rekonstruktivnoj ejunogastroplastiki posle gastrjektomii: Patent RF N 2148958], 8, 21-27.

3. Куртсеитов Н.Э., Дамбаев Г.Ц., Кошель А.П., Разаренова Т.Г. и др. Моторная функция желчного пузыря у пациентов после редуоденизации // Вопросы реконструктивной и пластической хирургии. - 2012. -Т. 15, № 4 (43). - С. 67-69. Kurtseitov N.E., Dambaev G.T., Koshel A.P., Razarenova T.G. et al. (2012). Motor function of gall bladder in patients after reduodenization [Motornaja funkcija zhelchnogo puzyrja u pacientov posle reduodenizacii]. Voprosy rekonstruktivnoj i plasticheskoj hirurgii, 15, 4 (43). 67-69.

4. Кошель А.П., Куртсеитов Н.Э. Влияние редуоденизации с формированием арефлюксных анастомозов на состояние кишечного пищеварения // Хирург. - 2010. - № 10. - С. 4-8. Kozhel A.P., Kurtseitov N.E. (2010). Influence of reduodenization with formation of areflux anastomoses on the state of intestinal digestion [Vlijanie reduodenizacii s formirovaniem arefljuksnyh anastomozov na sostojanie kishechnogo pishhevarenija]. Hirurg, 10, 4-8.

5. Новик А.А., Ионова Т.И., Кайнд П. Концепция исследования качества жизни в медицине. - СПб.: ЭЛБИ, 1999. - 139 с. Novik A.A., Ionova T.I., Kind P. (1999). Concept of research of life quality in medicine [Koncepcija issledovanija kachestva zhizni v medicine], 139.

6. Черноусов А.Ф., Поликарпов С.А., Черноусов Ф.А. Хирургия рака желудка. - М., 2004. Chernousov A.F., Polikarpov S.A., Chernousov F.A. (2004). Surgery of gastric cancer [Hirurgija raka zheludka].

7. Kawamura T., Yasui A., Shibata Y. et al. (2003). Evaluation of gastroesophageal reflux disease following various reconstructive procedures for a distal gastrectomy. Langenbecks Arch. Surg., 4 (388), 250-254.

8. Scholmerich J. (2004). Postgastrectomy syndromes-diagnosis and treatment. Best Pract. Res. Clin. Gastroenterol., 18, 917-933.

9. Tomita R., Fujisaki S., Tanjoh K. (2003). Pathophysiological studies on the relationship between postgastrectomy syndrome and gastric emptying function at 5 years after pylorus-preserving distal gastrectomy for early gastric cancer. World J. Surg., 27, 725-733.


Review

For citations:


Kurtseitov N.E., Dambaev G.T., Koshel A.P., Vusik A.N., Solovyov M.M. Application of diaphragm crurotomy by A.G. Savinykh at the reconstruction of oesophagealintestinal anastomosis after gastrectomy. Acta Biomedica Scientifica. 2015;(2):21-24. (In Russ.)

Views: 557


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2541-9420 (Print)
ISSN 2587-9596 (Online)