Abstract
This article presented the clinical observation of the giant duodenal ulcer complicated by bleeding in the HIV-infected patient. The original method of forming the duodenal stump was used during the resection of the stomach by Billroth-2. The method was characterized by using the post-ulcer stenotic ring as a skeleton of the formed duodenal stump and the double-row continuous suture that allowed to avoid the suture insufficiency in the patient.
Highlights
Overlapping the 1st row of sutures on the duodenum stump: 1 – pancreatic tissue; 2 – the first row of a continuous suture on a duodenum stump; 3 – the edge of the right lobe of the liver; 4 – fundus of the ulcer crater penetrating into the head of the pancreas; 5 – mobilized stomach in preparation for resection; 6 – the ligature stopped diffuse bleeding from the ulcer
Overlapping the 1st row of sutures: 1 – pancreatic tissue; 2 – the second row of a continuous suture on a duodenum stump; 3 – the edge of the right lobe of the liver; 4 –– fundus of the ulcer crater penetrating into the head of the pancreas; 5 – mobilized stomach in preparation for resection
6. Патент на изобретение No 2460474 РФ от 10.09.2012 Способ формирования культи двенадцатиперстной кишки при гигантской циркулярной осложненной язве / Ю
Summary
При резекции желудка по Бильрот-2 применен оригинальный способ формирования культи двенадцатиперстной кишки. Способ отличается использованием постъязвенного стенотического кольца в качестве каркаса формируемой культи и двухуровневого непрерывного шва, что позволило избежать у нашего пациента несостоятельности швов. Ключевые слова: гигантская язва двенадцатиперстной кишки, стеноз, кровотечение, пенетрация, ВИЧ-инфекция Для цитирования: Полуэктов В.
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