COMBINATION OF GASTRIC CANCER AND MULTIPLE DIVERTICULA OF THE SMALL BOWEL AND COLON.

Aim:- Improving the preoperative diagnosis of small bowel and colon diverticula to improve the results of surgical treatment. Material and Methods:- The case of massive small bowel and colon diverticulosis at a 77 years-old patient with the cancer of the stomach was presented. Results and Discussion:- 77 years-old patient underwent a Billroth II subtotal gastrectomy with antecolic anastomosis. The feature of the operation was the imposition of gastrointestinal and Braun\'s type anastomoses in the narrow antimesenteric edge of empty bowel, free of diverticoules, instead of in the typical place located to the median from this edge. Conclusions:- Rare cases of small intestinal and colon diverticulosis and vague clinical symptoms determine the severity of early diagnosis, and thus can create unexpected technical difficulties in surgical procedures.