ABSTRACT
The results of conduction of endoscopic transpapillary interventions in 976 patients, suffering stenosing papillitis in 2000 - 2014 yrs, were summarized. In 48 (4.9%) patients complications have had occurr, all the patients are alive.
Subject(s)
Minimally Invasive Surgical Procedures/methods , Sphincter of Oddi Dysfunction/surgery , Sphincter of Oddi/surgery , Sphincterotomy, Transduodenal/methods , Adult , Aged , Aged, 80 and over , Duodenoscopy , Female , Humans , Male , Middle Aged , Minimally Invasive Surgical Procedures/statistics & numerical data , Retrospective Studies , Sphincter of Oddi/pathology , Sphincter of Oddi Dysfunction/pathologyABSTRACT
Changes in the neutrophils system of peripheral blood in 26 patients, suffering different forms of an acute pancreatitis, were studied. Concordance between results of the acute pancreatitis prognostication in accordance with the Ranson and APACHE II scales and structural-functional state of the neutrophils system were established. Technological quality, speed of performance, sensitivity, objectiveness constitute advantages of a new method of estimation. The proposed method is a perspective one for the course prognostication and monitoring of complicated forms of an acute pancreatitis. Its application would facilitate the patients stratification in accordance to severity of their state and choice of the treatment tactics.
Subject(s)
Neutrophils/pathology , Pancreatitis/diagnosis , Severity of Illness Index , APACHE , Acute Disease , Adolescent , Adult , Aged , Aged, 80 and over , Female , Flow Cytometry , Humans , Male , Middle Aged , Pancreatitis/blood , Pancreatitis/mortality , Pancreatitis/surgery , Prognosis , Young AdultABSTRACT
Morphological state of gastric mucosa was studied up in patients, suffering morbid obesity before and after gastric banding and gastric shunting operations. According to histologic investigation data gastric mucosa in patients, suffering morbid obesity, is not changed or has moderate inflammatory changes. Gastric banding and gastric shunting did not change gastric mucosa trustworthily morphologically.
Subject(s)
Bariatric Surgery , Gastric Mucosa/pathology , Obesity, Morbid/surgery , Bariatric Surgery/methods , Bariatric Surgery/statistics & numerical data , Gastric Mucosa/surgery , Humans , Metaplasia , Obesity, Morbid/epidemiology , Obesity, Morbid/pathologyABSTRACT
The changes in a system of the blood neutrophils in 65 patients, suffering different forms of an acute pancreatitis, were studied. The trustworthy differences in a neutrophils system structure were determined in patients while their effective conservative treatment, effective surgical treatment, complicated course of postoperative period and exitus lethalis. This data permit to adjust a base for algorithm creation on prognostication, diagnosis and monitoring in patients, suffering an acute pancreatitis.
Subject(s)
Neutrophils/ultrastructure , Pancreatitis, Acute Necrotizing/blood , Adolescent , Adult , Aged , Aged, 80 and over , Case-Control Studies , Female , Humans , Male , Middle Aged , Pancreatitis, Acute Necrotizing/diagnosis , Pancreatitis, Acute Necrotizing/surgery , Predictive Value of Tests , Young AdultABSTRACT
Pathogenetically substantiated approach, using surgical, laser and echosclerosing methods, was applied for improvement of the treatment results in patients, suffering venous forms of the inborn vascular malformations of the lower extremities. The results of examination and treatment in 2006-2009 period were analyzed in 98 patients. The stem malformations with superficial venous system affection was diagnosed in 59 (60.2%) patients, the same with a deep venous system affection--in 27 (27.6%), the extrastem affections--in 7 (7.1%) and the combined malformations--in 5 (5.1%). There was differential tactics of the surgical treatment used together with combination of original surgical procedures, newest laser methods and sclerotherapy, which have permitted to achieve satisfactory late results in 73 (74.5%) patients. Poor results in 25 (25.5%) patients were caused by the pathological process spread and proliferative activity of malformation, what was confirmed by immunohistochemical and morphological investigations data.
Subject(s)
Lower Extremity/blood supply , Vascular Malformations , Vascular Surgical Procedures/methods , Veins/abnormalities , Adolescent , Adult , Child , Endothelium, Vascular/metabolism , Endothelium, Vascular/pathology , Endovascular Procedures/methods , Female , Humans , Laser Coagulation/methods , Lower Extremity/diagnostic imaging , Lower Extremity/surgery , Male , Muscle, Smooth, Vascular/diagnostic imaging , Muscle, Smooth, Vascular/pathology , Muscle, Smooth, Vascular/surgery , Proliferating Cell Nuclear Antigen/biosynthesis , Regional Blood Flow/physiology , Sclerotherapy/methods , Treatment Outcome , Ultrasonography , Vascular Endothelial Growth Factor Receptor-2/biosynthesis , Vascular Malformations/diagnostic imaging , Vascular Malformations/pathology , Vascular Malformations/surgery , Veins/diagnostic imaging , Veins/pathology , Veins/surgery , Young AdultABSTRACT
Results of treatment of 271 patients, suffering primary peptic stricture of the esophagus (PPSE), were analyzed. Application of antireflux operation on esophagogastic junction with forceful esophageal bougienage had permitted to achieve recovery in majority of them. Esophageal resection is indicated in PPSE, which do not submit instrumental dilatation and in presence of high-grade dysplasia, situated within the organ segments, affected by metaplasia.
Subject(s)
Esophageal Stenosis/diagnosis , Esophageal Stenosis/surgery , Esophagitis, Peptic/diagnosis , Esophagoplasty/methods , Adolescent , Adult , Aged , Catheterization , Esophageal Stenosis/etiology , Esophageal Stenosis/therapy , Esophagitis, Peptic/etiology , Esophagitis, Peptic/surgery , Esophagitis, Peptic/therapy , Female , Gastroesophageal Reflux/complications , Gastroesophageal Reflux/surgery , Humans , Male , Middle Aged , Severity of Illness Index , Treatment OutcomeABSTRACT
Diagnosed in a clinical setting were 28 cases of histologically verified columnar cell metaplasia of the esophageal epithelium in patients with grave forms of reflux disease of the esophagus. For the specialized type metaplasia characteristic for the Barrette's esophagus, which was detected in 22 (78.6%) patients, signs of availability of its neoplasic potential included dysplasia of the epithelium, inversion of the mucus-producing process, and eosinophilia of the inflammatory infiltrate.
