[RARE COMPLICATION OF PANCREATITIS PANKREATOPLEVRALNY FISTULA BOTH PLEURAL CAVITY].

This article presents a case of a rare complication--pankreatopleural fistula in a patient with chronic pancreatitis. The features of clinical manifestations and complications of this diagnostic search.

[Clinical and morphological substantiation of SMC-peloidotherapy for the management of duodenal pathology].

This study included 112 patients presenting with duodenal ulcer disease and 65 ones with chronic duodenitis treated with the use of sinusoidal modulated current (SMC) electrophoresis in combination with peloidotherapy (peat muds of the Uva health resort, Republic of Udmurtia). This treatment was shown to produce positive effect on the proliferative activity of duodenal epithelium.

[The application of resort factors for the treatment of gastroesophageal reflux disease].

The application of SMT-phoresis chloride-iodine-bromine brine for the treatment of gastroesophageal reflux disease (GERD) had positive influence on its clinical course and improved the motor-evacuative function of the stomach. Also, the psychoemotional conditions of the patients improved. It is concluded that SMT-phoresis of the chloride-iodine-bromine brine applied at the Uva health resort can be used either as monotherapy or included in the combined treatment of gastroesophageal reflux disease

[A method for non-medicamentous treatment of irritated bowel syndrome].

Clinical efficiency of two methods for the management of irritated bowel syndrome was compared. One was SMC electrophoresis of a chloride/iodine/bromine hydrogen sulphide brine of the Uva spa, the other standard medicamentous therapy. The former method was found to be more efficacious than the latter for the management of irritated bowel syndrome. Positive effects of SMC electrophoreis justify its recommendation as monotherpy for the treatment of the given pathology.

[Characteristics of collagen metabolism in duodenal ulcer].

We studied the content of collagen metabolites in patients with duodenal ulcer (blood plasma, urea, and samples of the duodenal mucous tunic and mouth fluid). We also defined the role of an affected collagen metabolism in the formation and cicatrization of duodenal ulcer; finally, we ascertained that the nature of the detected changes in different biological substrate is unidirectional.

[The duodenal epithelium in duodenal diseases]. / Sostoianie duodenal'nogo épiteliia pri zabolevaniiakh dvenadtsatiperstnoi kishki.

The purpose of the study was to define duodenal epithelial function in duodenal diseases and to assess the potentialities of correction of detected dysfunctions. The electrical properties (EPs) of the duodenal epithelium were explored in patients with primary chronic duodenitis, duodenal peptic ulcer (DPU) on an exacerbation and in the late postoperative period after selective proximal vagotomy. Mucosal biopsy specimens were obtained at fibrogastroduodenoscopy with biopsy forceps and placed in a sign-alternating field with the parameters, adequate bioelectric epitheliocytic characteristics: 28 V at a voltage sign change rate of 1 Hz, and a current strength of 200 microA. Bioelectrical cell reactions (nuclear fluctuation amplitude) were recorded by light microscopy using a MOB-1A ocular micrometer at minutes 10, 30, and 60 of the onset of electrical field action. A significant reduction was found in the amplitude of duodenal epithelial nuclear fluctuations in the examinees, which was most pronounced in DPU on an exacerbation. Duodenal epithelial EPs were shown to undergo regular changes during therapy and may serve as an additional test in evaluating the efficiency of therapy.

[SMC-electrophoresis of peat mud in the treatment of patients with duodenal ulcer in outpatient care unit]. / Opyt lecheniia bol'nykh iazvennoi bolezn'iu dvenadtsatiperstnoi kishki CMT-élektroforezom torfianoi lechebnoi griazi v usloviiakh dnevnogo statsionara.

To study collagen metabolism in reparative regeneration of duodenal ulcer in response to peat mud electrophoresis of Uva sanatorium using sinusoidal modulated currents (SMC) as monotherapy in a day hospital, 82 duodenal ulcer patients in exacerbation or attenuation were examined. They received SMC-electrophoresis of peat mud diluted by sulfate sodium-calcium mineral water Uvinskaya of moderate mineralization. The dynamics of clinico-endoscopic and morphological picture of the disease was controlled with fibrogastroduodenoscopy with target biopsy of the periulcer zone and antral stomach, investigation of secretory and acid-producing function of the stomach, hormone profile and collagen metabolism. Positive changes were found attributed to favourable shifts in the hormone status and normalization of collagen metabolism in duodenal mucosa.

[Dynamics of the morphofunctional status of digestive organs in patients with chronic gastroduodenitis during monotherapy with sulfate sodium-calcium mineral water]. / Dinamika morfofunktsional'nogo sostoianiia organov pishchevareniia u bol'nykh khronicheskim gastroduodenitom pri monoterapii sul'fatnoi natrievo-kal'tsievoi mineral'noi vodoi.

The authors describe morphofunctional changes in gastroduodenal tract in patients with chronic gastroduodenitis. Some of them have previously undergone laparoscopic cholecystectomy for cholelithiasis. Balneotherapy with mineral water "Uvinskaya" has a good effect in the above disease and therefore is recommended for prevention and treatment of patients with chronic gastroduodenitis as well as for prevention of repeated cholelithiasis after cholecystectomy.

[Riboxine effectiveness in combined treatment of chronic atrophic gastritis]. / Obosnovanie primeneniia riboksina v kompleksnoi terapii khronicheskogo atroficheskogo gastrita.

The authors present results of combined treatment of 60 patients with chronic atrophic gastritis with riboxine. A favorable effect was registered on clinical symptoms, acid-forming function, ultrastructure of gastric mucosa. The above positive effects of riboxine make it useful in combined treatment of chronic atrophic gastritis.

[The treatment of patients with chronic cholecystitis and hypomotor biliary dyskinesia at a sanatorium]. / Lechenie bol'nykh khronicheskim kholetsistitom s gipomotornoi diskineziei zhelchevyvodiashchikh putei v sanatorii.

Efficacy of spa treatment with moderately mineralized mineral water from the spring utilized by balneological sanatorium Uva in the Republic of Udmurtia was studied in 524 patients with chronic atrophic gastritis concomitant with chronic cholecystitis and hypokinesia of the biliary ducts. Drinking water proved beneficial for hepatobiliary tract, clinical symptoms regressed, the ability of the gallbladder to concentrate and expel bile improved.

[The dynamics of the indices of protein metabolic homeostasis and the status of duodenal mucosal regeneration during the etaden treatment of duodenal peptic ulcer]. / Dinamika nekotorykh pokazatelei belkovo-metabolicheskogo gomeostaza i sostoianie regeneratsii duodenal'noi slizistoi v protsesse lecheniia iazvnenoi bolezni dvenadtsatiperstnoi kishki étadenom.

The authors relate the results of examining 149 men suffering from duodenal ulcer. The main group was made up of 75 patients given parenteral etaden treatment combined with conventional therapy. A study was made of the dynamics of clinical manifestations, the level of total protein and its fraction in the blood, protein metabolism (by radionuclide technique). Pieces of the duodenal mucosa from the periulcerous area were examined under microscope. Scanning and electron microscopy was also performed. Based on the data obtained it is concluded that etaden had active influence on protein synthesis, which favoured more rapid regression of the ulcerous defect in the main group patients. Morphological studies have also shown the positive dynamics of the regenerative process.