[Results of the study of motor and evacuation function of the stomach after gastroplasty].

ABSTRACT

THE AIM OF THE STUDY Investigation of motor and evacuated functions of upper parts of digestive tract in patients with hard scarring gastric ulcers (HSGU) after organ-preserving surgery by gastroplasty method. METHODS AND MATERIALS Motor and evacuated functions of the operated stomach were studied in 74 patients after gastroplasty (GP) with invaginated corporo-antral anastomosis (CAA) and 30 patients after GP with corporo-antral sphincter (KAS) formation from the ileal loop in different post-operated periods. The roentgenologic barium passage trough the upper parts of digestive tract and inter-digestive motor activity were assessed. RESULTS: The recovery of functional condition of the operated stomach after GP occurred during a year. It stipulated by adequate motor and evacuated functions of anastomosis performed. The GP technique with KAS formation from the ileal loop has number of advantages before its analogue GP with invaginated KAA the muscular cuff from the ileal loop obstacles the dilatation of gastric tube; recovers the reservoir function of the fundal gastric part; provides the bolus portioned delivery to antral gastric portion to prevent its overload. CONCLUSION: The results of the study of motor and evacuated functions of operated stomach have proved that GP with KAS formation from the ileal loop was the optimal method of HSGU surgical treatment.