Makaev M.I. 1
Abramzon O.M. 1
Lyachshenko S.N. 1
1 Orenburg State Medical Academy
The presented article has justified a necessity and revealed potentials of creating a model of esophago-small intestinal anastomosis in dogs without eliminating a stomach from the process of digestion. 12 animals were operated on concerning the intersection of abdominal part of esophagus directly over the cardial constrictor; the formation of insertion from the part of empty intestine on the vascular limb out of 20-30 cm from duodenojejunal passage; the reconstruction of the integrity of enteric tract and pyeloroplasty. There have been pointed out the technical difficulties of surgical intervention associated with possible occurrence of pneumothorax and with a high adhesive ability of the thickened intestine mucose membrane hindering a fulfillment of anastamosis. The possible complications have been demonstrated. Some surgical methods for their prophylaxis have been presented. There is also shown the possibility of anastomosis adhesion and a smooth postoperative period up to 3 weeks.