ABSTRACT
Conducted a successful conservative (stationary, and then outpatient) treatment of a patient with a giant gastric ulcer long-term use (5 months) as a basic treatment of capillary gastrointestinal probe.
Subject(s)
Catheterization/methods , Stomach Ulcer/diagnostic imaging , Stomach Ulcer/therapy , Aged , Humans , Male , RadiographyABSTRACT
Application of the endoscopic programmed hemostasis for patients with ulcer gastroduodenal bleedings and with high operational-anesthetic risk provided metabolic rehabilitation (5% solutions of glucose and ascorbic acid) for the purpose of prevention of recurrence of the bleedings which have arisen after a hemostasis at 5.5% of patients.
Subject(s)
Hemodynamics , Hemostasis, Endoscopic/methods , Peptic Ulcer Hemorrhage/therapy , Peptic Ulcer/therapy , Adult , Aged , Aged, 80 and over , Endoscopy, Digestive System/methods , Female , Hemodynamics/physiology , Humans , Male , Middle Aged , Peptic Ulcer/complications , Peptic Ulcer/pathology , Peptic Ulcer/physiopathology , Peptic Ulcer Hemorrhage/complications , Peptic Ulcer Hemorrhage/pathology , Peptic Ulcer Hemorrhage/physiopathology , Risk , Treatment OutcomeABSTRACT
Glucose and ascorbate used for endoscopic hemostasis metabolic preventive to prevent recurrent ulcer bleeding. Unacceptable joint use in endohemostasis ascorbate and hydrogen peroxide.
Subject(s)
Anti-Infective Agents, Local/therapeutic use , Antioxidants/therapeutic use , Ascorbic Acid/therapeutic use , Endoscopy, Gastrointestinal , Gastrointestinal Hemorrhage/therapy , Glucose/therapeutic use , Hemostasis, Endoscopic , Hydrogen Peroxide/therapeutic use , Stomach Ulcer/therapy , Sweetening Agents/therapeutic use , HumansABSTRACT
Conception of programmed endoscopic hemostasis, the authors used not only for hemostasis, but also to prevent a recurrence of gastrointestinal bleeding of various etiology in patients with high operative risk, as well as the local treatment of peptic ulcer disease. The method is based on metabolic rehabilitation of patients using 5% solutions of glucose, ascorbic acid and 1% solution of methylene blue.
Subject(s)
Adenocarcinoma/therapy , Hemostasis, Endoscopic/methods , Myocardial Infarction/therapy , Shock, Hemorrhagic/therapy , Stomach Neoplasms/therapy , Adenocarcinoma/complications , Adenocarcinoma/diagnosis , Gastrointestinal Hemorrhage/complications , Gastrointestinal Hemorrhage/diagnosis , Gastrointestinal Hemorrhage/prevention & control , Humans , Male , Myocardial Infarction/complications , Myocardial Infarction/diagnosis , Shock, Hemorrhagic/complications , Shock, Hemorrhagic/diagnosis , Stomach Neoplasms/classification , Stomach Neoplasms/diagnosisABSTRACT
Aneurysms of a chest department of an aorta with esophageal perforation two cases are presented and a lethal outcome. Difficulties in diagnostics have been caused by rare occurrence of the given pathology, insufficient experience of clinical physicians, and also absence during supervision of characteristic attributes Aortoesophageal Fistula.
Subject(s)
Aortic Aneurysm, Thoracic/complications , Aortic Rupture/complications , Esophageal Fistula/complications , Esophageal Perforation/complications , Aged, 80 and over , Aortic Aneurysm, Thoracic/diagnosis , Aortic Rupture/diagnosis , Endoscopy, Digestive System , Esophageal Fistula/diagnosis , Esophageal Perforation/diagnosis , Fatal Outcome , Female , Humans , Male , Middle AgedABSTRACT
Clinical supervision diffuse large B-cell lymphoma of the stomach at the patient of young age is presented. Difficulties of the differential diagnostics of lymphom have been caused by macroscopical polyphormism. With the purpose of verification of disease are used the chromoendoscopy and immunohistochemical research.
Subject(s)
Lymphoma, Large B-Cell, Diffuse/diagnosis , Stomach Neoplasms/diagnosis , Adult , Biopsy , Diagnosis, Differential , Female , Gastroscopy , Humans , Immunohistochemistry , Lymphoma, Large B-Cell, Diffuse/pathology , Stomach Neoplasms/pathology , Young AdultABSTRACT
On the basis of results of research the pathomorphology severe blood loss and haemorrhagic shock at 38 patients who have died from ulcer gastroduodenal of bleedings, with the purpose of preventive maintains of relapses of bleedings am established by authors necessity of carrying out of the general, and also local metabolic rehabilitation during the endoscopic haemostasis at massive bleedings at the patients with high risk of surgical treatment.
Subject(s)
Duodenal Ulcer/pathology , Hemostasis, Endoscopic , Peptic Ulcer Hemorrhage/pathology , Shock, Hemorrhagic/pathology , Stomach Ulcer/pathology , Adult , Aged , Aged, 80 and over , Duodenal Ulcer/therapy , Female , Humans , Male , Middle Aged , Peptic Ulcer Hemorrhage/therapy , Shock, Hemorrhagic/therapy , Stomach Ulcer/therapyABSTRACT
Clinical supervision of successful conservative treatment of the patient with a huge stomach ulcer with use in the course of performance endoscopic a metabolic homeostasis of solutions of glucose and ascorbic acid of 5%, and also pH-chromoscopy and capillary gastrointestinal a tube is presented.
Subject(s)
Ascorbic Acid/therapeutic use , Glucose/therapeutic use , Hemostasis, Endoscopic , Peptic Ulcer Hemorrhage/therapy , Stomach Ulcer/therapy , Ascorbic Acid/administration & dosage , Endoscopy, Digestive System , Enteral Nutrition , Glucose/administration & dosage , Humans , Male , Middle Aged , Peptic Ulcer Hemorrhage/diagnosis , Stomach Ulcer/diagnosis , Treatment OutcomeSubject(s)
Abdominal Pain/therapy , Gastrointestinal Motility/physiology , Gastroscopes , Gastroscopy , Peptic Ulcer/therapy , Pyloric Stenosis/therapy , Abdominal Pain/diagnostic imaging , Abdominal Pain/etiology , Abdominal Pain/physiopathology , Adult , Aged , Duodenum/diagnostic imaging , Duodenum/innervation , Duodenum/physiology , Duodenum/physiopathology , Equipment Design , Female , Gastroscopy/methods , Humans , Male , Middle Aged , Peptic Ulcer/complications , Peptic Ulcer/diagnostic imaging , Peptic Ulcer/physiopathology , Pyloric Stenosis/diagnostic imaging , Pyloric Stenosis/etiology , Pyloric Stenosis/physiopathology , Radionuclide Imaging , Stomach/diagnostic imaging , Stomach/innervation , Stomach/physiology , Stomach/physiopathology , Treatment OutcomeSubject(s)
Endoscopy, Gastrointestinal/methods , Hemostasis, Endoscopic/methods , Peptic Ulcer Hemorrhage/therapy , Shock, Hemorrhagic/prevention & control , Adenosine Monophosphate/analysis , Adult , Aged , Aged, 80 and over , Female , Guanosine Monophosphate/analysis , Homeostasis , Humans , Inosine Monophosphate/analysis , Male , Middle Aged , Peptic Ulcer/metabolism , Peptic Ulcer/pathology , Peptic Ulcer Hemorrhage/complications , Peptic Ulcer Hemorrhage/mortality , Purines/chemistry , Purines/metabolism , Shock, Hemorrhagic/etiologyABSTRACT
A new direction with the use of endoscopic hemostasis (EH) was offered in the complex program of metabolic rehabilitation of patients with ulcerous gastroduodenal bleedings (UGDB) and hemorrhagic shock (HS). There was a study of the results of treatment of 44 patients (29 men and 15 women at the age from 61 to 77) with severe concurrent diseases and UGDB complicated with HS. Recurrences of UGDB in case of HS are a factor of high operative-anesthetic risk. Endoscopic preventive metabolic hemostasis is a prospective direction in rehabilitation of patients with UGDB complicated with HS. It is necessary to improve the EH methods for treatment of continued arterial bleedings from giant gastroduodenal ulcers.
Subject(s)
Hemostasis, Endoscopic/methods , Peptic Ulcer Hemorrhage/therapy , Shock/therapy , Aged , Female , Humans , Male , Middle Aged , Peptic Ulcer Hemorrhage/complications , Peptic Ulcer Hemorrhage/prevention & control , Shock/etiology , Shock/prevention & controlABSTRACT
The authors describe two cases of intraoperative endoscopic diagnosis of hemangioma and vasculitis of the small intestine. The examination was conducted during laparotomy by colonoileoscopy and enterotomy. The authors believe this method to be most effective in emergency surgery when the operation cannot be postponed because of the patient's severe condition caused by hemorrhagic shock.
Subject(s)
Endoscopy, Gastrointestinal , Gastrointestinal Hemorrhage/diagnosis , Hemangioma/diagnosis , Intestinal Neoplasms/diagnosis , Intestine, Small , Vasculitis/diagnosis , Adult , Emergencies , Female , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/surgery , Hemangioma/complications , Hemangioma/surgery , Humans , Intestinal Neoplasms/complications , Intestinal Neoplasms/surgery , Intraoperative Care , Male , Middle Aged , Rectal Diseases/diagnosis , Rectal Diseases/etiology , Rectal Diseases/surgery , Shock, Hemorrhagic/etiology , Vasculitis/complications , Vasculitis/surgeryABSTRACT
The trial of a gastrointestinal tube in gastroduodenal ulcer indicates its high efficiency for enteral tube feeding in serious ulcer cases and as a therapeutic modality in noncomplicated cases. The tube introduction in 55 patients out of 89 promoted the defect healing within 2-3 weeks, in 30 out of 36 cicatrization occurred on week 3-5. The presence of the tube produced no effect on acid production in the stomach, cicatrization of the ulcer took place without basic therapy in remaining hypo-achlorhydria and hyperchlorhydria. Clinico-endoscopic evidence and data on gastroduodenal motility and evacuation suggest the conclusion on the neuro-reflex mechanism of the tube action which eliminates painful syndrome and motor-evacuatory abnormalities which are believed essential in pathogenesis of peptic ulcer.
Subject(s)
Duodenal Ulcer/therapy , Intubation, Gastrointestinal , Stomach Ulcer/therapy , Adult , Aged , Enteral Nutrition , Female , Humans , Male , Middle Aged , Time FactorsABSTRACT
The authors used enteral tube feeding with a multicomponent balanced mixture "Ovolakt" in complex treatment of gastric and duodenal ulcer in 69 patients among which 42 had complicated forms (stenosis, penetration, bleeding) and 27 had no complications. In establishing the diagnosis laboratory tests and radiological and endoscopic examination were conducted. The gastric secretory function was studied by intragastric pH-metry and pH-chromoscopy conducted during enteral feeding and in dynamics after it was ended. In most cases of cicatrization of the gastric and duodenal defects, hypo- and hyperchlorhydria respectively, persisted. Among 42 patients with complicated course of peptic disease, 21 were treated by operation and 19 received nonoperative treatment. The postulcer cicatrix formed 2-3 weeks after enteral feeding was ended in 27 cases of uncomplicated peptic ulcer and in 19 patients with complicated ulcers who were given nonoperative treatment. Complications after operative treatment were not encountered. Patients not treated by operation spent 20-30 days in the hospital.
Subject(s)
Duodenal Ulcer/therapy , Enteral Nutrition , Stomach Ulcer/therapy , Adult , Aged , Aged, 80 and over , Duodenal Ulcer/complications , Enteral Nutrition/methods , Evaluation Studies as Topic , Female , Humans , Male , Middle Aged , Peptic Ulcer Hemorrhage/therapy , Peptic Ulcer Perforation/therapy , Pyloric Stenosis/therapy , Stomach Ulcer/complicationsABSTRACT
Acidogenic function of the stomach and role of gastroesophageal reflux were assessed in relation to esophagitis genesis in 92 patients with portal hypertension and varicosity of the stomach and esophagus. Acidogenic function was found heterogenous. The relationship between gastric acidity, gastroesophageal reflux and esophagitis development seemed obscure, whereas that between esophageal varicosity of a definite degree and esophagitis was clear-cut.
Subject(s)
Esophagitis, Peptic/etiology , Gastroesophageal Reflux/complications , Hypertension, Portal/complications , Adolescent , Adult , Aged , Esophageal and Gastric Varices/complications , Esophageal and Gastric Varices/physiopathology , Gastric Acid/metabolism , Humans , Hypertension, Portal/physiopathology , Middle AgedABSTRACT
The endoscopic examination of 293 patients has shown that the incidence and character of diseases of the gastric stump (ulcer, polyps, carcinoma) were dependent on the underlying disease, time after the operation and severity of the duodenogastric reflux. The authors substantiate necessity of a refluxing anastomoses in gastric resection.