23 -4 (28/1) 2019 — Chartakov K., Khamrakulov Sh., — MORPHOFUNCTIONAL CHANGES IN THE STATE OF THE LYMPHATIC SYSTEM OF THE SMALL INTESTINE AFTER VARIOUS TYPES OF STOMACH RESECTION
MORPHOFUNCTIONAL CHANGES IN THE STATE OF THE LYMPHATIC SYSTEM OF THE SMALL INTESTINE AFTER VARIOUS TYPES OF STOMACH RESECTION
Chartakov K., Andijan State Medical Institute.
Khamrakulov Sh., Andijan State Medical Institute.
Chartakova H., Andijan State Medical Institute.
Chartakov D., Andijan State Medical Institute.
Boboev M. Andijan State Medical Institute.
Resume,
The morphology of the intestinal lymphorus was studied in 16 experimental dogs after resection of 2/3 of the stomach. Thus, changes in the lymphatic system of the intestine, their recovery, and the reactions of the compensatory device depend on the methods of resection of the stomach, which occurs after an acute trauma to the main co-nervous systems of the stomach. Aim. Based on the foregoing, the purpose of this study was to determine the morphofunctional state of the lymphatic system of the small intestine after various types of gastric resection, which are widely used in surgical practice.
Materials and methods. The influence of various methods of gastrectomy on lymphatic circulation in the small intestine was studied:
By interstitial injection of an aqueous solution of methyline blue and the method of biological injection with preliminary feeding of dogs with cream butter (200 g), milk (500 g) and white bread (200 g), which made it possible to study serous during laparotomy. subserous lymphatic vessels of the intestinal wall, diverting lymphatic collectors and nodes of its mesentery.
By the method of interstitial injection of the mass of Herot with the preparation of enlightened preparations from different layers of a section of the intestine 12-15 cm long, intraorganic lymphatic vessels of the small intestine were examined near the Tracheal ligament.
Histological and histological methods studied the structural changes in the wall of the small intestine.
Results. Studies have shown that in healthy dogs with laparotomy before resection of the stomach after 2-2.5 hours, contrasting of the lymphatic vessels of the 12 duodenum and small intestine was noted. Thanks to the composition of the chylus at the height of the patient’s digestion of the amount of fat, the lymphatic vessels acquired a milky-white color. On the small intestine, the lymphatic vessels of the initial and middle sections were most intensely contrasted, on the loops of the final sections it was less pronounced and decreased in the distal direction.
Conclusions. Pathological changes in the wall of the small intestine, which develops early after resection of the stomach, are manifested by swelling of the mucous membrane and submucosal base, a change in the shape and size of the villi, and plethora of venous vessels. In the late postoperative period, in the presence of these changes in the intestinal wall, dystrophic processes develop, which develops against the background of a neurovascular injury during resection of the stomach according to Billroth-11, especially its modification by Polia-Reichel
Key words: lymphorus, intestines, resection, stomach.
First page
106
Last page
108
For citation: Chartakov K., Khamrakulov Sh., Chartakova H., Chartakov D., Boboev M. Morphofunctional changes in the state of the lymphatic system of the small intestine after various types of stomach resection//New Day in Medicine 4(28)2019 106-108 https://cutt.ly/6by4opG
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