ABSTRACT
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.
Subject(s)
Duodenal Ulcer/complications , Helicobacter Infections/complications , Helicobacter pylori , Peptic Ulcer Hemorrhage/etiology , Stomach Diseases/complications , Antibodies, Bacterial/blood , Biopsy , Carrier State/immunology , Carrier State/microbiology , Chronic Disease , Duodenal Ulcer/immunology , Duodenal Ulcer/microbiology , Helicobacter Infections/immunology , Helicobacter Infections/microbiology , Helicobacter pylori/immunology , Helicobacter pylori/isolation & purification , Humans , Peptic Ulcer Hemorrhage/immunology , Peptic Ulcer Hemorrhage/microbiology , Pyloric Antrum , Recurrence , Stomach/microbiology , Stomach/pathology , Stomach Diseases/immunology , Stomach Diseases/microbiologyABSTRACT
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.
Subject(s)
Duodenal Ulcer/diagnosis , Gastroscopy , Postoperative Complications/diagnosis , Stomach Ulcer/diagnosis , Stomach/diagnostic imaging , Vagotomy/methods , Adult , Aged , Duodenal Ulcer/surgery , Duodenum/surgery , Female , Follow-Up Studies , Humans , Male , Middle Aged , Radiography , Recurrence , Stomach/surgery , Stomach Ulcer/surgery , Time FactorsSubject(s)
Duodenal Ulcer/complications , Helicobacter Infections/complications , Peptic Ulcer Hemorrhage/surgery , Stomach Ulcer/complications , Antibodies, Bacterial/blood , Combined Modality Therapy , Duodenal Ulcer/diagnosis , Duodenal Ulcer/surgery , Gastrectomy/methods , Helicobacter/immunology , Helicobacter/isolation & purification , Helicobacter Infections/diagnosis , Helicobacter Infections/surgery , Humans , Peptic Ulcer Hemorrhage/diagnosis , Pyloric Antrum/surgery , Pylorus , Stomach Ulcer/diagnosis , Stomach Ulcer/surgery , Vagotomy/methodsABSTRACT
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.
Subject(s)
Duodenal Ulcer/complications , Peptic Ulcer Hemorrhage/surgery , Pyloric Stenosis/surgery , Stomach Ulcer/complications , Duodenal Ulcer/surgery , Duodenum/surgery , Humans , Peptic Ulcer Hemorrhage/classification , Pyloric Stenosis/classification , Pylorus/surgery , Stomach/surgery , Stomach Ulcer/surgery , VagotomyABSTRACT
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.
Subject(s)
Diabetes Complications , Duodenal Ulcer/complications , Peptic Ulcer Hemorrhage/surgery , Stomach Ulcer/complications , Diabetes Mellitus/drug therapy , Humans , Hypoglycemic Agents/therapeutic use , Insulin/therapeutic use , Peptic Ulcer Hemorrhage/etiology , VagotomyABSTRACT
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.
Subject(s)
Cholelithiasis/surgery , Diabetes Complications , Adult , Aged , Cholecystitis/etiology , Cholecystitis/surgery , Cholelithiasis/complications , Diabetes Mellitus/drug therapy , Endoscopy , Humans , Insulin/therapeutic use , Middle AgedABSTRACT
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.
Subject(s)
Abdomen/surgery , Duodenal Ulcer/complications , Peptic Ulcer Perforation/surgery , Peritonitis/surgery , Acute Disease , Drainage/methods , Duodenal Ulcer/surgery , Humans , Pylorus , Therapeutic Irrigation/methodsABSTRACT
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.
Subject(s)
Duodenal Obstruction/surgery , Duodenal Ulcer/surgery , Peptic Ulcer Hemorrhage/surgery , Peptic Ulcer Perforation/surgery , Duodenal Obstruction/complications , Duodenal Obstruction/diagnosis , Duodenal Obstruction/physiopathology , Duodenal Ulcer/complications , Duodenal Ulcer/physiopathology , Gastrointestinal Motility , Humans , Peptic Ulcer/complications , Peptic Ulcer/physiopathology , Peptic Ulcer/surgery , Peptic Ulcer Hemorrhage/complications , Peptic Ulcer Hemorrhage/physiopathology , Peptic Ulcer Perforation/complications , Peptic Ulcer Perforation/physiopathology , Preoperative Care , Pylorus/surgery , Surgical Procedures, Operative/methodsABSTRACT
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.
Subject(s)
Common Bile Duct/surgery , Endoscopy, Digestive System/methods , Adult , Aged , Cholecystostomy/instrumentation , Cholecystostomy/methods , Cholestasis/etiology , Cholestasis/surgery , Drainage , Endoscopy, Digestive System/instrumentation , Equipment Design , Female , Gallstones/complications , Gallstones/surgery , Humans , Laparoscopy , Male , Middle Aged , Preoperative CareABSTRACT
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.
Subject(s)
Cholestasis/diagnosis , Cholestasis/surgery , Biliary Tract Surgical Procedures/methods , Bilirubin/blood , Cholestasis/blood , Cholestasis/etiology , Endoscopy, Digestive System , Female , Humans , Male , Middle AgedABSTRACT
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.
Subject(s)
Pancreatectomy/methods , Pancreatitis/surgery , Surgical Wound Infection/prevention & control , Acute Disease , Adolescent , Adult , Aged , Drainage/methods , Female , Humans , Intraoperative Care , Laparoscopy , Male , Middle Aged , Pancreatitis/diagnosis , Peritoneal Lavage , Postoperative CareABSTRACT
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.
Subject(s)
Gastric Emptying/physiology , Muscle Hypotonia/diagnosis , Muscle, Smooth/physiopathology , Peptic Ulcer Hemorrhage/surgery , Postoperative Complications/prevention & control , Pyloric Antrum/physiopathology , Vagotomy, Proximal Gastric/adverse effects , Disease Susceptibility , Humans , Muscle Hypotonia/prevention & control , Muscle, Smooth/innervation , Peptic Ulcer Hemorrhage/physiopathology , Preoperative Care , Pyloric Antrum/innervation , Vagotomy, Proximal Gastric/methodsABSTRACT
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.
Subject(s)
Duodenal Ulcer/surgery , Duodenum/surgery , Gastrectomy/methods , Pylorus/surgery , Stomach Ulcer/surgery , Duodenal Ulcer/complications , Humans , Stomach Ulcer/complicationsABSTRACT
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.