[Transabdominal ultrasonography in diagnostics of gastric leiomyoms].

Ultrasonography by an original technique, consisting in stomach examination after fasting and upon contrasting, was performed in 10 cases in addition to conventional radiological and endoscopic techniques for diagnostics of gastric leiomyomas. An anechogenous mass originating from the muscular layer of the stomach was considered an evidence of leiomyoma. Advantages of ultrasonography over other methods used for the diagnostics of gastric leiomyomas include a possibility to evaluate the whole gastric wall, its layers, and the internal structure of the formation. This provides additional possibilities for differential diagnostics, including cases of malignization.

[Value of ultrasonographic examination of the inferior vena cava in congestive heart failure]. / Znachenie ul'trazvukovogo issledovaniia nizhnei poloi veny pri zastoinoi serdechnoi nedostatochnosti.

The analysis of 118 ultrasonographies of the vena cava inferior (VCI) in 57 patients with congestive heart failure complicating valvular disease suggested that VCI ultrasonic evaluation may contribute to detection of the greater circulation insufficiency. The VCI calibre increase in the circulatory insufficiency stage IIB and III correlates with elevated venous pressure. Ultrasonic follow-up of the VCI condition may serve a basis for conclusions on the effectiveness of the therapy conducted.

[The content of cholylglycine in the blood serum in cholelithiasis during treatment with litholytic preparations of bile acids]. / Soderzhanie kholilglitsina v syvorotke krovi pri zhelchnokamennoi bolezni v protsesse lecheniia kamnerastvoriaiushchimi preparatami zhelchnykh kislot.

Liver function has been assessed on the basis of radioimmunoassays of the primary conjugated cholic acid, cholylglycine, in the blood sera of cholelithiasis patients treated with cheno- and ursodeoxycholic acid drugs for a long time. The findings indicate that the blood serum cholylglycine levels may be regarded, among other things, as a prognostic criterion of the efficacy of cholelithiasis therapy with bile acid preparations for litholysis.

[Bile excretion system in endogenous hypercorticism syndrome]. / Zhelchevydelitel'naia sistema pri sindrome éndogennogo giperkortitsizma.

Bile excretion and biochemical properties of bile were investigated in 86 patients with the endogenic hypercorticism syndrome, 78 patients with the Itsenko-Cushing disease and in 8 patients with corticosteroma. A considerable incidence of functional and organic biliary disorders was demonstrated. Changes in cholecyst contractility were recorded in 54.6% of the patients, with hypermotor dyskinesia (36.4%) prevailing. An excess of endogenic corticosteroids was frequently accompanied by a hypotonus of Oddi's sphincter (65.6%) or Lutkens' sphincter (67.2%). Chronic (stoneless) cholecystitis was diagnosed in 70.9% of the patients, cholelithiasis, in 16.3%, and cholecyst cholesterosis, in 3.5%. Adrenocortical hyperfunction was associated with natural changes in biochemical composition of the bile, such as excessive cholesterol and a relative deficiency of cholic acid and phospholipids which might be conducive to cholelithiasis. High incidence of biliary disturbances and their pattern should be taken into account in the treatment of patients with hypercorticism.