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Vladimir Leonidovich MartynovCorresponding author Doctor of Medical Sciences, Associate Professor, National Research Nizhny Novgorod State University named after N.I. Lobachevsky (UNN), Russia
The presence of numerous complaints of a gastroenterocolitic nature in patients with proven NBZ and CNDP and a sharp regression of these complaints after surgical correction of NBZ and CNDP allows us to conclude that the causes of these pathological manifestations are the failure of the Bauhinia valve and chronic violation of the duodenal patency, and the most adequate surgical aid for elimination of clinical manifestations of reflux disease is bauginoplasty with simultaneous duodenojejunostomy.
Vladimir Leonidovich MartynovCorresponding author Doctor of Medical Sciences, Associate Professor, National Research Nizhny Novgorod State University named after N.I. Lobachevsky (UNN), Russia
Annotation On the basis of 40 years of work on the treatment of 415 patients with gastroenterocolitis clinic, the author revealed the presence of refluxes due to anatomical defects of the Bauhinia valve (its failure) and the duodenum (chronic duodenal obstruction) at all levels of the gastrointestinal tract. After surgical correction of these anatomical breakdowns, the author states a significant improvement in all indicators of the state of both the digestive system and some extraintestinal manifestations, possibly the onset of precancer. The results obtained allowed the author to conclude that there are no "functional" disorders, this is only the level of our knowledge. Operations have been developed to correct the failure of the Bauhinia flap, intraoperative prevention of refluxes, and indications for methods of correcting chronic disorders of duodenal patency.