[The significance of gastric helicobacteriosis in the genesis hemorrhage from duodenal peptic ulcer]. / Znachenie khelikobakterioza zheludka v geneze krovotecheniia iz iazvy dvenadtsatiperstnoi kishki.

Based on a comprehensive analysis of findings from examination and surgical treatment of 196 patients with bleeding pyloroduodenal ulcers, it was found out that patients with concurrent helicobacteriosis of the stomach are prone to more unfavourable course of their illness, which fact is evidenced by a greater loss of blood and higher risk for bleeding recurrences. A classification is proposed by the authors, taking advantage of the data from endoscopic, microscopic and immunoenzymatic techniques, with the purpose of providing an assessment of degree of severity of helicobacteriosis of the stomach.

[The combined x-ray-endoscopic evaluation of the late results in organ-preserving operations with vagotomy in peptic ulcer]. / Kompleksnaia rentgenéndoskopicheskaia otsenka otdalennykh rezul'tatov organosokhraniaiushchikh operatsii s vagotomiei pri iazvennoi bolezni.

The article gives an objective assessment of remote results of surgical treatment of 197 patients who underwent organ-sparing operations combined with vagotomy for ulcer disease. Combined utilization of contemporary roentgenologic and endoscopic techniques allowed some important conclusions of practical value to be drawn.

[Organ-conserving operations in the treatment of peptic ulcer complicated by hemorrhage and stenosis of the pyloroduodenal canal]. / Organosokhraniaiushchie operatsii v lechenii iazvennoi bolezni, oslozhnennoi krovotecheniem i stenozom piloroduodenal'nogo kanala.

Surgical tactics and the peculiarities of operative procedure choice in stenosing duodenal ulcer, complicated with bleeding, were generalized on the base of analysis of surgical treatment results in 134 patients. Clinical application of organ preserving operations in combination with adequate vagotomy permitted to expel the origin of bleeding and pyloroduodenal zone stenosis recurrence and also the severe postoperative gastric stasis occurrence.

[Surgical treatment of patients with gastrointestinal ulcer hemorrhage and concomitant diabetes mellitus]. / Khirurgicheskoe lechenie bol'nykh s iazvennym zheludochno-kishechnym krovotecheniem i soputstvuiushchim sakharnym diabetom.

The results of surgical treatment of 800 patients with ulcer gastroduodenal bleeding, in 122 of whom diabetes mellitus was diagnosed, were analyzed. Organpreserving operations combined with vagotomy were conducted to the whole of the patients, the elaborated in clinic individualized approach to the diabetes mellitus prophylaxis was used. The glucose-correcting therapy methods were depicted with the respect to diabetes mellitus form, hemorrhage severity and indications for the operation.

[Surgical treatment of cholelithiasis in concomitant diabetes mellitus]. / Khirurhichne likuvannia zhovchnokam'ianoï khvoroby pry suputn'omu tsukrovomu diabeti.

The results of surgical treatment of 167 patients with cholelithiasis (CL) and concomitant diabetes mellitus (DM) ranging in age from 25 to 75 years and elder have been analysed. Acute form of CL was diagnosed in 101 patient, the chronic one--in 66. The tactics for conservative treatment of the patients, including insulin therapy before and after the operation, has been developed. In surgical treatment of CL and compensated DM, the preference was given to the instrumental and endoscopic methods, in decompensated DM, the radical operation was performed.

[Cleansing and drainage of the abdominal cavity in patients with a perforated pyloroduodenal ulcer and disseminated peritonitis]. / Sanatsiia i drenirovanie briushnoi polosti u bol'nykh s perforativnoi piloroduodenal'noi iazvoi pri rasprostranennom peritonite.

The results of surgical treatment of 125 patients with perforative pyloroduodenal ulcer and wide-spread peritonitis were studied. Postoperative mortality was 3.2%. The method of cleansing and drainage of abdominal cavity was suggested, which allowed to avert the beginning of such severe complications as abscess and progressive peritonitis.

[Surgical treatment of patients with complicated duodenal ulcer and duodenal stasis]. / Khirurgicheskoe lechenie bolnykh s oslozhnënnoi iazvennoi bolezníu dvenadtsatiperstnoi kishki, sochetaiushcheisia s duodenostazom.

On the basis of analysis of the results of surgical treatment of 488 patients with a perforative ulcer, 314--with a bleeding one, and 118--with penetrating pyloroduodenal ulcer, impairment in motor-evacuatory duodenal function was established in 12.8% of cases. A conclusion was made about the necessity to correct this disorders, indications for the operation for duodenostasis in complicated ulcer disease were substantiated.

[The choice of the procedure for endoscopic decompression in obstruction of the distal choledochus]. / O vybore sposoba éndoskopicheskoi dekompressii pri neprokhodimosti distal'nogo otdela kholedokha.

The employment of endoscopic methods in 399 patients for preoperative decompression of the biliary system in mechanical jaundice was analyzed. Positive and negative aspects of each of the methods were established and indications for using them were determined.

[Diagnosis and treatment of obstructive jaundice of non-neoplastic origin]. / Diagnostika i lechenie obturatsionnoi zheltukhi neopukhlevogo geneza.

The results of surgical treatment of 853 patients with obstructive jaundice of non-tumor genesis and initial bilirubin level in the blood of 100 mumol and higher are analysed. Individualization of therapeutic-tactical approach with the use of preoperative diagnosis of the level of obstruction of the bile ducts and severity of the state of a patient, and as well their preoperative decompression with the use of endoscopic methods permit to accomplish a number of measures aimed at reduction of the incidence of purulent-necrotic complications and lethality, improve the long-term results of treatment of the patients with obstructive jaundice.

[Diagnostic and therapeutic tactics in various forms of acute pancreatitis]. / Diagnosticheskaia i lechebnaia taktika pri razlichnykh formakh ostrogo pankreatita.

Course of the different forms of acute pancreatitis was studied in 234 patients. The therapeutico-tactical approach was individualized on the basis of considering the form of pancreatitis, its etiology, and four groups of the patients were distinguished. Conservative therapy with the wide use of therapeutic endoscopy permits in the majority of cases to achieve an abortive course of the disease. The developed programme for diagnosis and treatment of acute pancreatitis contributed to decrease in the incidence of purulent-necrotic complications in generalized forms of pancreatitis.

[Determining the predisposition to post-vagotomy peristaltic disorders in surgical treatment of peptic ulcer hemorrhage]. / Opredelenie predraspolozhennosti k postvagotomicheskim motorno-évakuatornym narusheniiam pri khirurgicheskom lechenii iazvennykh gastroduodenal'nykh krovotechenii.

Analysis of the results of organ-preserving operations in 246 patients with ulcerous gastroduodenal hemorrhages revealed a predisposition to motor-evacuation disorders of gastric performance, which plays an essential role in the individual choice of the operation in patients with ulcerous gastroduodenal hemorrhages. This makes it possible to reduce the number of postvagotomy complications linked with disturbed passage of food in the stomach and duodenum.

[Surgical tactics in complicated double ulcers of the pylorus and duodenum]. / Khirurgicheskaia taktika pri oslozhnennykh dvoinykh iazvakh privratnika i dvenadtsatiperstnoi kishki.

Double pyloroduodenal ulcers were treated in 86 patients. Active surgical tactics, improvement of the methods of local ulcer removal were the principles of treatment. The classification of the ulcers of double location by a topographic sign is suggested.

[Gastroduodenofibroscopy in the prognostic evaluation of local factors of hemostasis in acute gastrointestinal hemorrhage]. / Gastroduodenofibroskopiiav prognosticheskoi otsenke loka'lnykh faktorov gemostaza pri ostrom zheludochno-kishechnom krovotechenii.

On the basis of the experience with endoscopic examination of 422 patients with ulcer disease complicated by bleeding, the stages of local haemostasis and factors indicating the high likelihood of recurrent bleeding from a gastric, or duodenal ulcer were defined.