F.Sh. Akhmetzyanov1,2, D.A. Karimullina2

1Kazan State Medical University, Kazan

2Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic named after prof. M.Z. Sigal, Kazan

Akhmetzyanov Foat Sh. ― Doct. of Sci. (Med.), Professor, Head of the Department of Oncology, radiation diagnosis and radiotherapy of Kazan State Medical University, Director of Surgical Clinic №2 of Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic named after prof. M.Z. Sigal

49 Butlerov Str., Kazan, 420012, Russian Federation, tel. +7-917-254-50-86, e-mail: akhmetzyanov@mail.ru, ORCID ID: 0000-0002-4516-1997

Abstract. The article discusses the issues of quality of life (QOL) of patients after gastrectomy operations for stomach cancer (RV), suggests ways to reduce postoperative complications.

The purpose of this study is to analyze the existing negative consequences after gastrectomy operations for RV and to propose methods to improve the quality of life of patients.

After gastrectomy operations, there is a decrease in quality of life indicators, which are affected by complications such as nausea, vomiting, reflux, changes in taste sensations, restrictions in the amount of food, etc. In addition, hematological disorders are often observed under the general concept of «agastric anemia» associated with vitamin B12 deficiency. One of the ways to improve the quality of life of patients with RV after gastrectomy operations can be considered the Akhmetzyanov ― Borisov technique, based on the Gilyarovich ― Segal technique. This technique can significantly reduce postoperative mortality by eliminating the failure of anastomosis and pancreatitis sutures, and in the long term ― to some extent restore reservoir function, reduce the frequency of reflux esophagitis. A comparative analysis of the results of clinical, hematological and X-ray studies in anastomoses using the Akhmetzyanov ― Borisov method is presented.

Key words: gastric cancer, gastrectomy, postgastrectomy long-term disorders, quality of life.