[Application of endoscopic laser irradiation and antibacterial therapy in surgical treatment of duodenal ulcer disease]. / Primenenie éndoskopicheskogo lazernogo oblucheniia i antibakterial'noi terapii pri khirurgicheskom lechenii iazvennoi bolezni dvenadtsatiperstnoi kishki.

For duodenal ulcer disease there were performed an isolated selective proximal vagotomy--in 63 patients, vagotomy with various kinds of drainage operations--in 32, gastric resection according to Billroth-II--in 19. The expediency of application of endoscopic laser irradiation and antibacterial therapy in preoperative preparation complex for prophylaxis of early postoperative complications and the ulcer recurrences occurrence was noted. Among the patients operated on without the preoperative preparation conduction the inflammatory complications in early postoperative period occurred in 19.3% of them and the ulcer recurrence--in 11.5%; after preoperative preparation conduction--in 8.6 and 4.8% accordingly.

[The function of the digestive processes in the stomach and small intestine in complicated peptic ulcer]. / Sostoianie pishchevaritel'nykh protsessov v zheludke i tonkoi kishke pri oslozhnennoi iazvennoi bolezni.

On the basis of investigations designed to study the condition of intragastric proteolysis and membrane digestion in the small intestine in 148 patients it has been found out that peptic ulcer is accompanied by enhancement of digestive processes in the stomach and by decrease thereof in the small intestine. With the development of peptic ulcer complications digestive disorders get aggravated, which fact leads to various manifestations of the enteral syndrome. A conclusion has been reached that study into intragastric proteolysis and membrane digestion can be useful in the objective evaluation of the activity and degree of severity of the ulcerous process as well as in the functional assessment of results of the treatments administered.

[The use of duodenoplasty an selective proximal vagotomy in surgical treatment of duodenal ulcers]. / Primenenie duodenoplastiki i selektivnoi proksimal'noi vogotomii v khirurgicheskom lechenii iazvennoi bolezni dvenadtsatiperstnoi kishki.

In 42 patients with complicated duodenal ulcer disease after application of duodenoplasty and selective proximal vagotomy in a planned character an ulcer was not noted, good pyloric function was observed as well as a la carte, rhythmical and timely gastric emptying during (26 +/- 1) min on average.

[Surgical treatment of diseases of the operated stomach]. / Khirurgicheskaia korrektsiia boleznei operirovannogo zheludka.

The experience of treatment of 303 patients with the operated stomach diseases (OSD) is summarized. It was established that to reduce the frequency of their occurrence it is necessary: to perform vagotomy especially selective proximal (SPV) thoroughly for complete acid producing zone denervation achievement; to examine gastric cardia and pyloroduodenal zone before and intraoperatively thoroughly to select an optimal method of its drainage; to conduct conservative therapy of ulcer disease after vagotomy conduction up to the ulcer defect healing according to endoscopic control data.

[The results of pylorus-preserving resection of the stomach]. / Rezul'taty pilorosokhraniaiushchei rezektsii zheludka.

The functional results of pylorus-preserving resection of a stomach (PRS) in 68 patients with gastric ulcer disease were studied. According to the data of gastroscintigraphy and hepatoscintigraphy, it was established that number of patients with decreased motor-evacuatory function (MEF) of the stomach reduced from 31% before the operation to 11% at the long-term period after PRS. Duodenogastric reflux was noted in 10% of the patients as compared with 47% before the operation. MEF of the stomach normalized within 3-6 mos after the operation. Acid-producing function of the stomach after PRS steadily decreased until the development of a hypoacidic state. Basal pH of gastric, body at the long-term period was 3.39 +/- 0.59. An excellent and good result according to Visick scale was noted in 67 (98.5%) patients, a satisfactory one--in 1 (1.5%).

[The digestive processes of the stomach and small intestine in complicated peptic ulcer]. / Pishchevaritel'nye protsessy v zheludke i tonkoi kishke pri oslozhnennoi iazvennoi bolezni.

Investigation of the state of intraventricular proteolysis and membraneous digestion in the small intestine in 148 patients revealed that ulcer disease is accompanied by potentiation of the digestive processes in the stomach and their reduction in the small intestine. With appearance of complications of ulcer disease, the disorders of digestion deteriorated. This resulted in different manifestations of the enteral syndrome. It is concluded that examination of the intraventricular proteolysis and membraneous digestion may be used for objective evaluation of the activity and grade of severity of the ulcer process as well as for functional evaluation of treatment results.