ASPECTS OF DIAGNOSIS AND RECONSTRUCTIVE-RESTORATIVE SURGERY IN FUNCTIONAL DISORDERS OF DIGESTIVE SYSTEM

Aim. The aim of the study was to improve the outcomes and functional results of gastric and duodenal surgeries and as well as those of associated organs at the expense of perfection of diagnosis, surgical correction and prevention of motor-evacuatory and secretory disorders. Materials and methods. For diagnosis, the following special as well as original methods of study were used: intragastric pH-metry, balloonometric method, radiotelemetric and tensometric methods for assessment of gastric motor activity and intestinal motility; radioisotopic methods for estimation of functional status of hepatobiliary and gastrointestinal systems; roentgenological methods of double contrast study of the stomach and duodenum, endoscopic methods, pathomorphological studies, statistical processing of results with “Biostatic” program. Results. One thousand two hundred and forty eight (1248) patients underwent selective proximal vagotomy; 2199 patients - gastric resection with formation of artificial pyloric canal in different volumes (from antrumectomy to subtotal); 190 patients - gastrectomy with formation of oesophageal-intestinal reservoir, 403 patients - reconstructive-restorative surgeries for postoperative functional disorders. Conclusions. In most patients it is possible to reach good operative results and prevent development of postoperative complications at the expense of purposeful diagnosis of initial disorders, differentiated choice of surgical technique depending on the degree of severity of the diagnosed pathology and observation of certain techniques, providing optimal conditions for restoration and preservation of the most important functions of digestive system.