[Pylorus-preserving gastric resections in gastroduodenal ulcers]. / Pilorosokhraniaiushchie rezektsii zheludka pri gastroduodenal'nykh iazvakh.

The article analyses the results of pylorus-preserving resections of the stomach in 116 patients among whom 80 had gastric ulcer, 29 ad duodenal ulcer, and 7 had gastroduodenal ulcers. Changes of acidity and motor-evacuation function of the gastric stump were studied according to the method of pylorus-preserving resection. The late-term results of treatment in follow-up periods of 2 to 5 years are shown, they were found to be good in 96.6% of patients treated by operation and poor in 1.7%. It is noted that the function of the gastric stump is better when the vagus innervation of the pylorus is preserved. Mediogastric resection with selective proximal vagotomy in patients suffering from duodenal ulcer with a superacidic stomach led to stable normalization of acid production, which was a reliable measure for the prevention of a recurrent ulcer.

[One-stage segmental pylorus-preserving resection of the stomach and duodenum in stenosing duodenal ulcer]. / Odnomomentnaia segmentarnaia pilorosokhraniaiushchaia rezektsiia zheludka i dvenadtsatiperstnoi kishki pri stenoziruiushchei iazve dvenadtsatiperstnoi kishki.

The analysis of the results of surgical treatment of 32 patients with duodenal ulcer disease complicated by postpyloric stenosis of the duodenum, using the original technique--combination of selective proximal vagotomy with segmental pylorus-preserving resection of the stomach and duodenum was carried out. A good immediate and long-term result was noted, there were no ulcer recurrences. Such an operative intervention is expedient in stenosing duodenal ulcer, its combination with a gastric ulcer, and as well in postvagotomy ulcer recurrency developing against the background of high gastric acid production.

[Evaluation of the acid producing function of the stomach by pH-metry in surgical treatment of duodenal ulcer]. / Otsenka kislotoobrazuiushchei funktsii zheludka po dannym pH-metrii pri khirurgicheskom lechenii iazvennoi bolezni dvenadtsatiperstnoi kishki.

The comparative analysis of changes in acid production according to the data of pH-metry in 266 patients with duodenal ulcer disease after surgical treatment was carried out. The peculiar features of the dynamics of gastric acid production and dependance of the incidence of ulcer recurrences on a volume of the intervention performed have been established.

[Surgical treatment of patients with giant duodenal ulcers]. / Khirurgicheskoe lechenie bo'lnykh s gigantskimi iazvami dvenadtsatiperstnoi kishki.

The results of surgical treatment of giant duodenal ulcers in 104 patients are analysed. The peculiarities of the clinical picture and diagnosis of the disease were revealed. In 53 (51.0%) patients, the organ-perserving operations with vagotomy were performed, in 47 (45.2%)--different modifications of gastric resection, in 4 (3.8%)--gastroenterostomy. In treatment of the critically ill patients, the organ-preserving operations are preferable.

[Analysis of the causes of postoperative mortality in tumor-related large-intestinal obstruction]. / Analiz prichin posleoperatsionnoi leta'lnosti pri neprokhodimosti tolstoi kishki opukholevoi prirody.

The immediate results of surgical treatment of 134 patients with colonic obstruction of tumour nature were studied. The indications for the choice of a method for operative intervention, depending on peculiarities of the tumor process and state of a patient were established. In operable tumour, the radical removal of the damaged portion of the intestine is indicated. However, the obligatory aiming at creation of primary anastomosis in colonic obstruction is unexpedient because of high postoperative lethality. The necessary condition for the one-stage resection is a good preoperative decompression of the intestine.