EARLY ANASTOMOSITIS AFTER STOMACH RESECTION
Aim. The aim of the study was to analyze the published data on the subject of post-gastro-resection anastomositis in gastric cancer. Material and methods. Analysis of current medical research articles devoted to the incidence, diagnosis and treatment of post-gastro-resection anastomositis was carried out. Results and discussion. According to various data sources the incidence of anastomositis after gastrectomy ranges from 5 to 61%. The factors related to anastomositis are narrow gastrojejunoanastomosis or coarse ligature anastomosis in the wound, multi-row suturing, and allergic inﬂammatory inﬁltration in the area of anastomosis. For the treatment of post-gastro- resection anastomositis in the postoperative period, adequate anesthesia is required to prevent catabolic processes and ﬂuid-electrolyte imbalance, especially potassium loss. Enteral nutrition in the early postoperative period is difﬁcult due to depression digestive function resulting in indication for early intestinal tract stimulation. There is evidence of lymphostimulation effectiveness in the early postoperative period. Conclusion. Anastomositis in gastric cancer and its inconsistency, being a multifactorial disease, requires development of new methods of surgical treatment, as well as local endoscopic types of treatment in order to minimize repeated surgical interventions. Early diagnosis of post-gastro- resection anastomositis contributes to quality of life improvement in patients and faster digestive function restoration.