[The issues of organization of medical care delivery to region population within unfavorable allergic status].

The increasing imbalance between allergic diseases morbidity, severity of this pathology and deficiency of allergic care is established Hence the organization of this type of medical support becomes an important issue in the region. The solution is possible through the establishment of allergic care on the municipal level.

[Results of gastrectomy in uncomplicated duodenal ulcer 10 years after the operation]. / Rezul'taty rezektsii zheludka pri neoslozhnennoi iazve dvenadtsati- perstnoi kishki cherez 10 let posle operatsii.

An analysis of long-term results of surgical treatment (resection of the stomach) of 92 patients with noncomplicated ulcer of the duodenum has been made 10 years after the operative procedure. Peptic ulcer of the gastroenteroanastomosis was found to develop in 1 of 92 patients. The first group (after Vizik) included 23 patients (25%); the second group--22 patients (23.9%), the third one--44 (47.8%) and the fourth--3 patients (3.3%). As a whole, excellent and good results of gastric resection for noncomplicated duodenal ulcer were noted but in half of the patients.

[Evaluation of the effectiveness of vagotomy in uncomplicated duodenal ulcer based on its results 10 years after the operation]. / Otsenka éffektivnosti vagotomii pri neoslozhnennoi iazvennoi bolezni dvenadtsatiperstnoi kishki na osnovanii rezul'tatov ee cherez 10 let posle operatsii.

Under analysis are results of vagotomy performed in 95 patients with uncomplicated ulcer of the duodenum after ineffective conservative treatment 10 years after operation. During this time recurrent ulcer developed in 26 patients (27.4%). The disease reappeared more frequently in patients with high level of night gastric secretion before surgery. Results of the operation in 25 patients (26.3%) could be estimated only as satisfactory because of various disorders (dumping-syndrome, diarrhea, gastric dyspepsia). But a usual basis for such an assessment was not a medial degree of some disorders (2 patients) but a combination of light degree disorders (23 patients). One patient was included into the IVth Wisik's group due to severe dyspepsia. Only 43 patients (45.3%) were included in the I and II groups by the Wisik's scheme. Results of vagotomy in patients who had no ulcer complications before operation were compared with the efficiency of vagotomy used totally for all indications and were found to be much worse. The authors make a conclusion that it is not expedient to widen indications to vagotomy at the expense of patients with uncomplicated ulcers.