[Significance of esophagojejunogastroplasty in the surgical treatment of chronic and malignant ulcers of the cardial part of the stomach].

A new method of esophagojejunogastroplasty with a continuous loop of the small intestine in proximal resection of the stomach was developed experimentally and introduced into clinical practice. The techniques of the operation are described in detail. Proximal subtotal resection of the stomach with esophagojejunogastroplasty was performed in 14 patients for chronic and malignant ulcers of the gastric cardia. Foci of adenocarcinoma were found in the edges of the ulcer in one patient and epithelial changes corresponding to CaC2 in situ in 3 patients. One patient died after the operation from pulmonary artery thromboembolism. The course of the early postoperative period in the remaining 13 patients was uneventful. Follow-up in postoperative periods of 4 weeks to 12 months did not reveal any postresection disorders. All patients were capable of working and did not observe a special diet.