[The mechanisms of the evacuatory function of the gastric stump after a Hofmeister-Finsterer resection]. / Mekhanizmy évakuatornoi funktsii kul'ti zheludka posle rezektsii po Gofmeisteru--Finstereru.

Attention is drawn to the fact that evacuation from the gastric stump is determined not only by the size of the anastomosis, the manner by which it is formed, whether transversely or longitudinally but also by the functional condition of the gastric stump and the efferent intestinal loop. Motor-evacuation disorders on the part of the stump and efferent intestinal loop precede the development of most postgastric resection syndromes. The authors examined 197 patients who underwent Hofmeister-Finsterer gastrectomy. Five types of evacuation from the gastric stump were distinguished, to which various combinations of motor function of the stump and efferent intestinal loop corresponded. After studying the type of combinations of the motor function of the stomach and efferent intestinal loop, the authors conducted purposeful correction which promoted normalization of the motor function of these organs. For instance, evacuation in portions, which is most efficient in respect of function, was encountered in 42% of patients without correction and in 75.9% of those in whom correction was undertaken. This allowed postoperative functional complications to be reduced from 38% to 12.08% and the adaptation period to be shortened by 2-3 weeks on the average.

[The diagnosis of a cystic duct blockade in patients with chronic cholecystitis]. / Raspoznavanie blokady puzyrnogo protoka u bol'nykh khronicheskim kholetsistitom.

The authors describe a method of complex examination of patients with diseases of the external biliary tract with the aim of diagnosing cystic duct blocks. Intravenous cholangiography using billignost and albumin in 2:1 ratio proved highly effective. Of essential help in the diagnosis of cystic duct block was dynamic ultrasonic examination. Cystic duct block is a distinct sign of cholecystitis requiring operative intervention.

[Functional state of the stomach after gastrectomy and vagotomy and the ways of improving the results of surgical treatment of peptic ulcer]. / Funktsional'noe sostoianie zheludka posle rezektsii i vagotomii i puti uluchsheniia rezul'tatov khirurgicheskogo lecheniia iazvennoi bolezni.

A complex examination of 286 patients was performed after gastric resection by the method of Hofmeister-Finsterer, 64 patients after truncal vagotomy with antrum-resection, 14--after selective proximal vagotomy with draining operations and 26--without draining operation. Time for the recovery of motor-evacuatory function of the stomach after organ-preserving operations was considerably shorter than after resection of the stomach. In order to shorten the period of adaptation of the digestion organs after operative treatment of ulcer disease a complex of rehabilitating measures is proposed including percutaneous electrostimulation, diet, balneological and medicamentous therapy. It allowed the terms of temporary invalidity to become average 2 weeks shorter and to improve results of surgical treatment of ulcer disease.

[Patient rehabilitation after gastric resection for peptic ulcer]. / Reabilitatsiia bol'nykh posle rezektsii zzheludka po povodu iazvennoi bolezni.

The authors evaluated the results of gastric resection in the Hofmeister-Finsterer modification in 262 patients with ulcer disease. Treatment considered of drugs, balneotherapy and electric stimulation with consideration of the functional state of the resected stomach. The used rehabilitation complex allowed to improve the results of surgical treatment, to reduce time of temporary loss of working capacity by 2-3 weeks.

[Effects of a series of food substances on motor and emptying function of the gastric stump and diverting intestinal loop after stomach resection and truncal vagotomy]. / Deistvie riada pishchevykh veshchestv na motorno-évakuatornuiu funktsiiu kul'ti zheludka i otvodiashchei petli kishki posle rezektsii zheludka i stvolovoi vagotomii.

Altogether 253 patients operated on for peptic ulcer were examined for the action of 30 foods on motor and evacuatory function of the gastric stump and efferent intestinal loop. 213 patients were subjected to gastric resection after Hofmeister-Finsterer and 40 patients to antrum resection and truncal vagotomy. Proceeding from the action on motor function of the gastric stump and efferent intestinal loop the foods were distributed into three groups: with a stimulation, inhibitory of weak effects on the function. The first group included beef and fish broths, boiled meat, rye bread, cabbage, tomato, apple, cherry and black currant juices, rhubarb infusion, fresh kefir, carrot and pumpkin purees. The group of foods producing an inhibitory action comprised milk and milk whey, cottage cheese, sugar, butter, sunflower oil, lard, rice and oat decoctions, mashed potatoes and potato juice, buckwheat porridge and semolina, wheat bread, raw eggs, and honey. The action of the same foods was found to be different as regards the effect on the gastric stump and efferent intestinal loop, on tonic and contractile functions of the organs. The dietetic management of patients undergoing gastric operations should be carried out on a strictly individualized basis with allowance made for the functions of the gastric stump and intestinal loop and for the action of foods on the organs.