[The results of treating stomach cancer at a medical center]. / Rezul'taty lecheniia raka zheludka v meditsinskom tsentre.

Results of diagnosis and treatment of gastric cancer according to the program of screening in permanently followed-up population group during 1980-1995 years, developed and introduced into practice of Medical Center of the President of Russia Administration, are analysed. According to the Cancer Register data through this period, total number of cases of this disease comprised 896 patients. Active revealing of cancer of the stomach made up 61%. The causes of advanced disease in patients with stage IV cancer have been thoroughly analysed, their share being high enough--23.5%. Due to achieved level of early diagnosis (I stage) the possibility of only radical surgical treatment rises up to 83.5%, allowing to receive a high percent of corrected 5-year (92-93%) and 10-year (83-88%) survival. Every third patient with cancer of the stomach succumbs due to causes unconnected with the progression of the disease.

[Determination of the viability of a patient's intestine by using laser doppler flowmetry during surgery]. / Opredelenie zhiznesposobnosti kishechnika u bol'nogo vo vremia operatsii s pomoshch'iu lazernoi dopplerovskoi floumetrii.

Intraoperative determination of the viability of the intestine by means of laser Doppler flow measurement was conducted in 26 patients. The method proved to be highly effective, made it possible to judge most objectively the degree of changes in blood flow in various parts of the intestine in a short time and correct them subsequently during the operation, and considerably reduced the possibility of the development of postoperative complications due to inadequate appraisal of the degree of vascularization of the mobilized segments of the small and large intestine which are prepared for the formation of the anastomosis.

[Evaluation of the prognostic value of endocrine stress disturbances in patients with disseminated peritonitis]. / Otsenka prognosticheskogo znacheniia éndokrinnykh stressovykh narushenii u bol'nykh razlitym peritonitom.

The following endocrine disturbances observed in the early postoperative period are prognostically unfavourable: persisted high blood hydrocortisone level, decreased thyroid hormone, especially T-3, values, damaged negative feedback between T-3 and TTH, decreased leucine-enkephalin blood immunoreactivity. The loss of correlation between hydrocortisone and ACTH, T-3 and TTH, insulin and glucose blood levels, as well as close correlation between hydrocortisone and insulin, hydrocortisone and glucose levels and an abrupt increase in hydrocortisone/insulin, hydrocortisone/STH, hydrocortisone/T-3 and hydrocortisone/T-4 ratios have the same predictive value.

[Experience in the use of a pneumo-obturator in patients with colostomy]. / Opyt primeneniia pnevmoobturatora u bol'nykh s kolostomoi.

The authors were able to prevent uncontrollable discharge of intestinal contents in 70 patients with colostomy by means of a pneumo-obturator of an original design. Its advantages over magnetic obturating devices were revealed: the simple and light design, hygienic properties, short adaptation period, and no need for implantation of a foreign body into the tissues surrounding the colostomy. Sixty-four patients use the device regularly and are able to retain feces of any consistency. No complications have been noted. The pneumo-obturator may therefore be used for creating a new method for controllable evacuation of the intestine.

Combined non-invasive diagnostics of deep vein thrombosis of the lower extremities.

Application of a combined non-invasive diagnostic approach to screening examination of a high-risk group of patients made it possible to detect phlebothrombosis on 34 lower extremities in 31 patients with absent clinical manifestations of the disease. Combined use of Doppler ultrasound flowmetry and occlusive venous plethysmography increases the accuracy of the diagnosis of deep vein thrombosis of the lower extremities up to 96%.

[Peripheral hemodynamics at various stages of deep vein thrombosis of the legs]. / Perifericheskaia gemodinamika na razlichnykn stadiiakh tromboza glubokikh ven nizhnikh konechnostei.

A study of 46 patients at different stages of deep-vein thrombosis of the legs, using venous-occlusion plethysmography, doppler ultrasonic flowmetry and radiopaque phlebography, has identified structural and functional mechanisms compensating venous outflow for clinically inapparent nonocclusive thrombosis, acute occlusion of a major venous trunk and post-thrombotic disease.

[The role of the complex diagnostic technic of ultrasonic flowmetry and venous occlusion plethysmography in the prevention of thromboembolism of the pulmonary artery]. / Rol' kompleksnogo diagnosticheskogo metoda ul'trazvukovoi floumetrii i venozno-okkliuzionnoi pletizmografii v profilaktike tromboémbolii legochnoi arterii.

A study of 820 patients at risk for deep-vein thrombosis of the legs and pulmonary-arterial thrombo-embolism (PATE) serves to illustrate that screening by means of ultrasonic flowmetry and venous-occlusion plethysmography is capable of detecting asymptomatic phlebothrombosis.

[Pathogenesis of paralytic intestinal obstruction in peritonitis]. / K patogeneze paraliticheskoi kishechnoi neprokhodimosti pri peritonite.

The author believes that the vascular spasm does not play any part in the occurrence of functional ileus in peritonitis. Humoral factors, such as the loss of electrolytes and serotonin, which is of a specific mediatory effect upon the intestine in particular, are by far more important. It seems that some other humoral factors, e.g. bacterial toxins and endotoxins, formed during the inflammatory process, play their part too. The article is published for purposes of discussion in connection with the paper by Yu. L. Shal'kov. a coll. (Vestnik Khirurgii, 1976, N 4, p. 55).