Kujath P, Bruch H P, Schmidt E
Chir Forum Exp Klin Forsch. 1980:247-9.
Nutrition is the main problem with inoperable gastroesophageal tumors. In 15 mongrel dogs the topmost jejunal loop was disconnected in a 'y' shape after Roux and diverted outwards, the small intestine anastomosed end-to-side. A sphincter plastic made of autologous small intestine muscles after the Würzburg method was wrapped as a sleeve around the thigh diverted to the epigastrium. The jejunostomy was absolutely continent; the dogs could be fed an elementary diet by means of a probe without their loss of weight or malaise. The mobility and the uncomplicated application signify improvement on the gastric fistula and parenteral feeding.
营养是不可切除的胃食管肿瘤的主要问题。在15只杂种狗中，按照Roux法将最上端的空肠袢呈“Y”形切断并向外引流，小肠行端侧吻合。采用维尔茨堡方法制作的自体小肠肌括约肌成形术，将其像袖套一样包裹在转移至上腹部的大腿周围。空肠造口术完全可控；可以通过探针给狗喂食要素饮食，而它们不会体重减轻或不适。其可移动性和应用简便性表明相较于胃瘘和肠外营养有了改进。
