[Prophylaxis of esophageal reflux after gastrectomy and proximal stomach resection].

498 operations are analyzed. Simplified invagination with shuttle suture is the advantage of proposed method. Postoperative complications were seen in 18.3% patients, lethality was 3.6%. Mild reflux-esophagitis was revealed in 8 (4.9%) of 162 examined patients, cicatricial stricture of I-II degree--in 19 (11.7%) patients. The proposed esophageal-gastric and esophageal-intestinal invagination anastomoses are easy, to make, safe, have high antireflux effect. This modification of invagination anastomoses is recommended in proximal stomach resection and gastrectomy.