[Esophago-intestinal anastomosis in gastrectomy]

The method for application of the esophago-intestinal anastomosis after total gastrectomy for cancer of the stomach has been developed. Over 400 patients were operated on by this method. Substantial decrease of postoperative complications' rate was observed, particularly--faibure of sutures of the anastomoses have been developed only in 0.9% of patients. Reflux-esophagitis in long-term postoperative period was detected only in 2.2% of patients due to the usage of afferent loop of the bowel for the creation of valvular mechanism. Regarding the simplicity of the procedure, high reliability and favourable functional abilities of this anastomosis, the authors recommend it for wide application in surgical practice.