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METHOD OF SURGICAL TREATMENT OF MORBID OBESITY

机译:肥胖症的外科手术治疗方法

摘要

FIELD: medicine.;SUBSTANCE: in the surgical treatment of morbid obesity by mini-gastro-bypass surgery, the contact pH measurement of the stomach sections is performed presurgery. The border of the gastric mucosa with a pH level of more than 3.0 is determined. On this border, 1 ml of methylene blue is injected into the submucosa of the anterior wall of the stomach through the endoscope's operating channel. The part of the stomach is cut at a marked level in the transverse direction by the width 6 cm, then in the longitudinal to the bottom of the stomach. A two-chamber stump of the stomach is formed. The stomach volume on the probe by screwing single endosutures with a non-absorbable suture material is calibrated. A loop of the small intestine is brought to the stomach at a distance of 180 cm from the duodenum. The lumens of the organs with a cut length 3.5 cm is opened up. A single-row serous-muscular-submucosal gastroenteroanastomosis is stitched.;EFFECT: reliable results in the treatment of morbid obesity, a decrease in the risk of entero-gastric and gastroesophageal reflux, the development of reflux-esophagitis, peptic ulcers in the area of anastomosis.;1 ex
机译:领域:药物;研究对象:在通过微型胃旁路手术进行的病态肥胖的外科手术治疗中,在手术前进行胃部接触pH的测量。确定pH值大于3.0的胃粘膜边界。在该边界上,通过内窥镜的操作通道将1 ml亚甲蓝注入到胃前壁的粘膜下层。在横向上以明显的高度将胃的一部分切成6 cm的宽度,然后在纵向上切到胃的底部。形成一个两腔胃残端。通过用不可吸收的缝合线材料将单个内缝合线拧紧来校准探头上的胃容积。小肠环在距离十二指肠180厘米处进入胃。切开长度为3.5厘米的器官腔。缝合了单行浆液性肌肉粘膜下胃肠炎;效果:治疗病态肥胖,减少肠胃和胃食管反流的风险,反流性食管炎的发展,该地区消化性溃疡的可靠结果吻合术;; 1 ex

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