| abstract |
The present invention describes the method of suturing the stomach with the intestine, incorporating stitching up the stomach, severing the respected gastric portion, dissecting the seromuscular layers alone of the gastric wall at the place of anastomosing along the line the length of which corresponds to the required size of the anastomosis, compressing the remaining gastric portion in a close proximity to the place of the abovesaid dissection of the seromuscular layers, catching the opposite semiperimeters of the gastric wall by the mucosubmucous layers in front of the line of compression of the remaining gastric portion on the side of establishing the required anastomosis, severing the affected gastric portion some distance apart from the line of catch on the outer side of the remaining gastric portion, compressing and catching the enteric wall on its segment whose length corresponds to the size of the caught semiperimeters of the gastric wall within the zone of the anastomosis being established, followed by severing the resected enteric segment, bringing apart the caught portions of the enteric wall and the seromuscular layers of the gastric wall along the semiperimeters thereof, approximating the stomach and the intestine until the brought-apart wall portions contact each other with simultaneously apposing the semiperimeters, suturing the thus-apposed enteric and gastric walls to form a first tier of the suture that passes through all the layers of the enteric wall but only through the mucosubmucous layers of the gastric wall, releasing the walls of the organs sutured from catching and compressing, catching the seromuscular layers of the gastric wall, pulling these layers to the enteric wall and stitching them with the seromuscular layers of the enteric wall some distance apart from the first tier of the suture so that the cut of the seromuscular layers should be laid upon the first tier of the suture and the thus-formed invaginating suture be situated aside of the first tier of the suture. |