[Laparoscopy in the diagnosis and differential diagnosis of ascites]. / Laparoskopiiata v diagnozata i diferentsialnata diagnoza na astsitite

Ascites was found in 772 (30,89%) from all the 2500 laparoscopy examined patients. Ascites was due to liver cirrhosis in 57.78 per cent of the patients, to peritoneum carcinosis in 26.29 per cent and to primary and metastatic liver carcinoma in 12.95 per cent, to tuberculous peritonitis in 1.42 per cent and more seldom to some other diseases. A reliable diagnosis of liver cirrhosis, malignant tumors and the rest of the liver diseases, progressing with ascites is made by laparoscopy. Laparoscopy with a biopsy of peritoneum and liver is of decisive importance in the differentiation of peritoneum carcinosis and tuberculosisé. The clinico-laboratory diagnosis in carcinosis coincides completely with the laparoscopic one, the histologic--in 24.5 per cent, partially in 45.5 per cent and in 30 per cent it fails completely to coincide.

[Clinical trial of the preparation Caved S in treating peptic ulcer]. / Klinichno izpitvane na preparata Caved S pri lechenie na iazvenata bolest

The observations upon the therapeutic effect of Caved S preparation are reported, being a combination of deglycyrrhizinated liquorice, alkalizing substances and vagolytic drugs. The clinical trial of the medicine reveals it to be with a quick effect on the subjective complaints good tolerance and no manifested disturbances on water and electrolyte balance. It is suitable for the treatment of patients with gastric and duodenal ulcers. Ulcer niche roentgenologically is healed in 37,5% of the patients with gastric ulcer and in 33% in the patients with duodenal ulcer. Endoscopically, the niche is healed in 25% of the patients with gastric ulcer and in 28,5%--with duodenal ulcer. The medicine is with no effect in cases of gastric callous ulcer, as well as with pyloric stenosis.