[One-stage combined operations on the organs of the abdominal cavity in compression stenosis of the celiac trunk]. / Odnomomentnye sochetannye operatsii na organakh briushnoi polosti pri kompressionnom stenose chrevnogo stvola.

The authors made an analysis of 511 operations for chronic abdominal ischemia caused by stenosis of the celiac trunk performed during 20 years. In addition to decompression of the celiac trunk, one-stage combined operations on the organs of the abdominal cavity were made in 167 out of 511 patients for concomitant diseases. It was shown that adequately fulfilled operations on organs of the abdominal cavity with stenoses of the celiac trunk improved the results of operations for the stenosed vessel.

[Diagnosis of chronic abdominal ischemia due to compressive celiac trunk stenosis]. / Diagnostika khronicheskoi abdominal'noi ishemii, obuslovlennoi kompressionnym stenozom chrevnogo stvola.

AIM: Elucidation of clinical symptoms of compressive celiac trunk stenosis (CCTS) and development of diagnostic programs and the disease classification. MATERIALS AND METHODS: Clinical signs of CCTS and results of device examinations have been analyzed in 511 patients operated for CCTS. The diagnostic program is proposed which simplifies CCTS identification. How to use methods of auscultation and phonoangiography of the abdomen, sonography and angiography of the visceral aortic branches, endoscopy and kinesography in this disease is shown. Three symptom complexes are most noticeable in CCTS clinical picture: abdominal pain after meals (100%), digestive tract dysfunctions (78.4%), neurovegetative disorders (84.38%). 67.44% of patients noted meteorological dependence of the disease exacerbation. Objective investigation revealed tenderness to palpation in the epigastrium (100%), systolic murmur in the epigastrium on an empty stomach after full expiration (98.67%). CONCLUSION: Sonographic and endoscopic investigations are recommended for screening of patients to reveal stenotic injury of the celiac trunk. Timely detection of the disease and surgical treatment produce a positive effect in most cases.