ABSTRACT
Great experience of Burdenko N.N. Main military-and-clinical hospital angiographic research department's work is systemized. On the base of retrospective analysis of 1621 medical cards the evaluation of the nearest and distant treatment results, its efficiency, and importance of roentgenoendovascular surgery in the system of specialized medical care is presented. Conclusions on the far perspectives of this direction's development in a diversified hospital were drawn..
Subject(s)
Angiography/trends , Hospitals, Military/organization & administration , Vascular Diseases/diagnostic imaging , Vascular Diseases/surgery , Vascular Surgical Procedures/trends , Humans , Military Personnel , RussiaABSTRACT
A total of 437 patients with chronic pancreatitis (CP) were examined. The authors detected interstitial or acute, parenchymal or recurrent, hyperplastic or pseudotumorous, and cystic variants in 91 (20.8%), 218 (49.9%), 78 (17.8%), 22 (5.1%), and 28 (6.4%) patients, respectively, Severe types due to the permanent pain syndrome, substantial weight loss and overall intoxication phenomena were seen in 21.5%. Complications of chronic pancreatitis were revealed in 32.3%. Pyoseptic complications (11.2%), anicteric cholestasis (8.5%), subhepatic portal hypertension (8.0%), cholestatic jaundice (7.8%) were most common. Immunodeficiency states developed with long-term treatment of CP. A small portion (0.9%) of patients with CP developed pancreatic carcinoma. 3% of patients had deaths directly due to the active course of the disease whose causes were pyoseptic processes, pancreatic carcinoma and profuse hemorrhages from exulcerations of the duodenal postbulbar part.
Subject(s)
Pancreatitis/complications , Adult , Aged , Aged, 80 and over , Chronic Disease , Humans , Hyperplasia/classification , Hyperplasia/complications , Hyperplasia/diagnosis , Hyperplasia/epidemiology , Hyperplasia/mortality , Incidence , Middle Aged , Pancreas/pathology , Pancreatitis/classification , Pancreatitis/diagnosis , Pancreatitis/epidemiology , Pancreatitis/mortalityABSTRACT
A total of 97 patients with pancreatic carcinoma were examined with sonography, computed tomography of the pancreas and endoscopy of the stomach and duodenum. The tumor involved mainly the head of the pancreas in 69 (71.1%), the body in 21 (21.7%) and the tail in 7 (7.2%) patients. Two basic types of the disease were identified: disseminated in 83 patients and rare in 14 patients. The disseminated type included a central (45 patients) and a peripheral (38 patients) variant. The latter is classed as peripheral (n = 30) and paraduodenal (n = 8). The rare types included masked variants (n = 6), miniblastomas (n = 3), megablastomas (n = 2) of the pancreas, as well as thrombotic variants of the disease (n = 3). The highest diagnostic value of sonography and computed tomography was observed in intrinsic peripheral variants of carcinoma. Gastroduodenal endoscopy along with biopsy of suspected segments is highly diagnostic in paraduodenal variants of the disease.
