[Prophylaxis of postgastrectomy complications in patients with gastric cancer].

There are presented the results of surgical treatment of 447 patients. suffering gastric cancer, in whom gastrectomy was performed. Esophago-initestinal anastomosis was performed according to method of G. V. Bondahr. Interintestinal anastomosis (IIA) was formed using traditional Braun method and also was applied the longitudinal-transversal method, elaborated in the clinic. Usage of the method proposed did not worsen the immediate and late results, but have promoted significant improvement of the gastrectomy functional results. The method application secures the trustworthy lowering of the postgastrectomy complications rate while performing gastrectomy (dumping syndrome, reflux-esophagitis, the adduced loop syndrome) comparing with such, using Braun IIA--accordingly 30.5 and 52.8% (P = 0.016); fair, good and excellent the patients quality of life--accordingly in 67.8 and 47.2% (P = 0.024). The elaborated procedure of the IIA formation constitutes the method of choice while performing gastrectomy.

[Reflux esophagitis and cicatricial stenosis of the muff-like esophageal-small intestine anastomosis after performing a gastrectomy for stomach cancer]. / Refliuks-ézofagit i rubtsovyi stenoz muftoobraznogo pishchevodno-tonkokishechnogo anastomoza posle vypolneniia gastréktomii po povodu raka zheludka.

In the late follow-up period after gastrectomy conduction for gastric cancer using antireflux muff-like esophago-jejunal anastomosis 587 patients were examined. Mild reflux esophagitis was revealed in 29 (4.9%), moderate--in 9 (1.5%) of patients. Cicatricial stenosis of anastomosis have occurred in 127 (8.5%) of patients, including an early one--in 70.1% and the late--in 29.9%. The dilation using tubular bougies, passed along the guide, proved effective in the treatment of early stenosis. The stenosed part was cut through the endoscope with subsequent bougienage for the late stenosis.

[Experience with muff-life esophagojejunal anastomosis]. / Opyt nalozheniia muftoobraznogo pishchevodno-tonkokishechnogo anastomoza.

The experience of 25-year period of gastrectomy conduction making a sleeve-like oesophago-jejunoanastomosis in 1778 patients was summarized. The anastomosis incompetence occurred in 16 (0.9%) patients. Refluxoesophagitis was revealed in 6.3% of patients. High efficacy of the anastomosis was noted, providing antireflux defence and the portional chyme entering into jejunum.

[Results and perspectives of the treatment of diffuse gastric cancer]. / Rezul'taty i perspektivy lecheniia rasprostranennogo raka zheludka.

The results of surgical treatment of 870 patients with extended gastric cancer, to whom gastrectomy was done, were summarized. Five-year survival index had constituted 35.6%, ten-year--12.9%. Within 5 years after conventional gastrectomy conduction 43.7% of patients were alive, after combined procedure--27.3%, palliative operation--16.1%.

[Computed tomography in the diagnosis of stomach cancer and the assessment of its spread]. / Komp'iuternaia tomografiia v diagnostike raka zheludka i otsenke ego rasprostranennosti.

CAT was carried out in 110 patients with gastric carcinoma and its findings compared with the intraoperative findings. CAT involved a polypositional scanning (depending on the tumor site) against the background of oral contrast label of the stomach and intestine. CAT potentialities in the diagnosis of gastric carcinoma, assessment of the tumor size and involvement of the adjacent organs and structures, detection of the metastases were studied. Use of CAT in complex with other methods will help choose the optimal treatment strategy and determine the volume of supposed surgical intervention.

[Computed tomography in the diagnosis of colorectal cancer]. / Komp'iuternaia tomografiia v diagnostike kolorektal'nogo raka.

In order to study the potentialities of computerized tomography (CT) in the diagnosis of colorectal cancer and assessment of its spreading, 107 patients (subsequently operated on) were investigated. CT of the colon was performed against a background of a contrast study per os, CT of the rectum was performed against a background of inserting a thin wall latex balloon and rated inflation of it with air. Comparison of the results of this investigation with operative findings led to a description of CT semeiotics of colorectal cancer, and a study of the signs of spreading to various organs and structures as well as of metastatic involvement of the regional lymph nodes and liver. The use of CT for colorectal cancer in combination with other methods of examination helped choose the optimum therapeutic tactics and define the volume of operation.