ABSTRACT
An experience with using various methods of endoscopic hemostasis for bleeding gastroduodenal ulcers is presented. The efficiency of different methods of arresting the bleedings depending on localization of the ulcer, place of the bleeding vessel and activity of the hemorrhage is discusses. The frequency of hemorrhages was shown to depend of the phase of the ulcer disease. A conclusion is made about high efficiency of using the combined endoscopic hemostasis as compared with using each of the methods of arresting the hemorrhage separately.
Subject(s)
Duodenal Ulcer/complications , Hemostatic Techniques , Peptic Ulcer Hemorrhage/therapy , Stomach Ulcer/complications , Adolescent , Adult , Aged , Endoscopy , Evaluation Studies as Topic , Female , Humans , Male , Middle Aged , Peptic Ulcer Hemorrhage/classificationABSTRACT
Sixty-two patients with exacerbation of duodenal ulcer were tested for Helicobacter pylori (HP). Bacterial invasion was found in 54 out 62 patients (87%). The degree of bacterial dissemination, the physiological resistance of the tegmental epithelium, and granulocytic infiltration of the mucosa were studied one and three months after selective proximal vagotomy (SPV) in 16 patients with HP. The control group consisted of seven patients without HP. It was found that bacterial invasion led to diminution of the physiological resistance of the tegmental epithelium and caused a chronic inflammatory process in the mucosal stroma. Bacterial dissemination after the operation not only corresponded to its initial level in the duodenum but tended to increase in the antrum and fundus of the stomach.
Subject(s)
Duodenal Ulcer/surgery , Helicobacter Infections/complications , Helicobacter pylori , Adult , Duodenal Ulcer/complications , Helicobacter pylori/isolation & purification , Humans , Pyloric Antrum/microbiology , Stomach/microbiology , Vagotomy, Proximal GastricABSTRACT
Retroperitoneoscope was introduced through the 11 and 10 intercostal space by linea axillaris media and anterior Differences of the accesses between each other and between those in lumbocostal angle are statistically significant. The access to 11 intercostal space was proved to be the most convenient one for the examination of the entire kidney surface, while the one to 10 intercostal space-for the endoscopy of adrenals and caudal region of the pancreas. The caput of the pancreas may be examined both through 11 intercostal space and lumbocostal angle. Clinical observations of 129 patients, operated by means of retroperitoneoscope through 11 intercostal space confirmed the effectivity of the method. Positive effects of retroperitoneoscopy_-minimal traumatization of tissues, normal postoperative period and good cosmetic effect make it suitable for wide introduction into the surgical practice.
Subject(s)
Retroperitoneal Space/anatomy & histology , Retroperitoneal Space/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Cadaver , Female , Humans , Male , Methods , Middle AgedSubject(s)
Laparoscopy/methods , Adolescent , Adrenal Gland Diseases/diagnosis , Adult , Aged , Aged, 80 and over , Cadaver , Female , Humans , Kidney Diseases/diagnosis , Male , Middle Aged , Pancreatic Diseases/diagnosis , Retroperitoneal SpaceSubject(s)
Cholecystitis/diagnosis , Pelvic Inflammatory Disease/diagnosis , Acute Disease , Adolescent , Adult , Diagnosis, Differential , Diagnostic Errors , Female , Humans , LaparoscopyABSTRACT
Operated on were 304 patients with perforative duodenal ulcer. The preference was given to the closure of an ulcer with selective proximal vagotomy. The follow-up of from 1 to 10 years has shown the excellent and good results in 92% of cases. Recurrences occurred in 4.9% of the patients.
Subject(s)
Duodenal Ulcer/surgery , Peptic Ulcer Perforation/surgery , Vagotomy, Proximal Gastric , Adolescent , Adult , Aged , Duodenal Ulcer/complications , Humans , Male , Middle Aged , Recurrence , Suture TechniquesABSTRACT
The authors have analyzed immediate and late results of the surgical treatment of 162 patients. Organ-preserving operations are thought to be inferior to parcimonious resections of the stomach with vagotomy in reliability of arrest of bleeding and prevention of recurrences. Sphincter-destroying operations are believed to be expedient if the ulcer can be technically dissected both at the height of bleeding and in the intermediate (cold) period. Suturing of the ulcer is possible in patients with high operative risk.
Subject(s)
Duodenal Ulcer/surgery , Peptic Ulcer Hemorrhage/surgery , Vagotomy/methods , Follow-Up Studies , Gastrectomy/methods , Humans , Middle Aged , Postoperative Complications , Suture TechniquesSubject(s)
Gastrectomy , Gastric Juice/metabolism , Vagotomy , Humans , Stomach/physiopathology , Stomach/surgeryABSTRACT
Secretory function of the operated stomach was studied in 188 patients after trunk and selective vagotomy with distal resection and pyloroplasty of various extent. Under conditions of vagotomy the preservation of the whole stomach essentially fails to increase residual secretion of free hydrochloric acid.
