PubMed Health⌕ Search

Biomedical subjects

A A Kurygin

Publications and source records attributed to A A Kurygin.

At least 19 recordsLinked to original sources
PubMed1992

[Acute intestinal obstruction as a problem in emergency surgery].

An experience with treatment of acute ileus is presented. Operations were performed on 499 patients. Postoperative lethality from small intestine obstruction was 12.5%, from the colon obstruction--32.4%. The methods of treatment of different forms of intestinal ileus are described.

Acute Disease↗
PubMed1992

[The hemostatic effect of vagotomy in acute gastroduodenal ulcers complicated by massive hemorrhage].

The clinico-experimental investigation has shown high efficiency of the bilateral subdiaphragmatic truncal vagotomy in treatment of patients with acute gastroduodenal ulcers complicated by massive hemorrhage. The haemostatic effect of the operation is related to the inhibited acid gastric secretion, proteolytic activity of the intragastric content as well as to the activation of serotonin-containing cells and increased tonus of the sympathetic nervous system, which is responsible for gastric vessel spasm, shortens time of bleeding, increases the amount of thrombocytes and their aggregation. When vagotomy with interventions draining the stomach is not possible, suturing (dissection) of bleeding acute ulcers is recommended in combination with prolonged novocain blockade of vagus nerves.

Acute Disease↗
PubMed1992

[The results of the endoscopic diathermy coagulation of hemorrhaging gastroduodenal ulcers].

The authors analysed the results of endoscopic diathermy coagulation of bleeding acute gastroduodenal ulcers in 83 patients; in 47 of them the follow-up period ranged from 12 months to 9 years. A stable hemostatic effect was achieved in the early periods after coagulation of the acute ulcers in 76% of cases. The frequency of recurrent bleeding was found to be directly dependent on the degree of the blood loss. Recurrent bleeding from acute ulcerations of the gastric mucosa in the late-term period was discovered authentically in only one patient. It was linked with medication with brufen for a long duration. Thus, endoscopic diathermy coagulation produced good results in arresting bleeding from acute gastroduodenal ulcers, particularly in patients with a very high operative risk.

Acute Disease↗
PubMed1991

[Treatment of Mallory-Weiss syndrome by endoscopic diathermocoagulation].

The work analyses the results of treatment of 111 patients with the Mallory-Weiss syndrome by endoscopic diathermocoagulation. It proved ineffective from the very beginning in 11 (9.9%) cases, in another 23 (20.7%) patients hemorrhage recurred in the immediate 4 days but in one third of them its source was another disease. The follow-up of 77 patients revealed recurrence of the disease in the late-term period (from 12 months to 9 years) after diathermocoagulation in 12 (15.6%), but only 2 of them had to be operated on. The operative mortality was 17%, but when surgery was combined with diathermocoagulation the mortality rate was 4.5%.

Diathermy↗
PubMed1991

[Surgical treatment of hemorrhage from acute gastric ulcers and erosions].

On the basis of analysis of operative treatment of 229 patients with hemorrhage from acute gastric ulcers and erosions, the advantages of vagotomy (68 cases) over the other types of operations (stitching of ulcers--102, devascularization of the stomach--48, resection of the stomach--11) are shown. Decrease in incidence of postoperative recurrencies of hemorrhage, and comparatively low lethality permit to recommend vagotomy with pyloroplasty as an operation of choice in acute erosive-ulcerous lesions of gastric mucosa.

Adolescent↗
PubMed1991

[Features of the diagnosis of tumors of the small intestine complicated by hemorrhage].

Among 5,190 patients with gastrointestinal hemorrhage in 14 (0.27%) the bleeding was caused by tumor of the small intestine. The success of recognition of tumors of the small intestine complicated by bleeding is determined to a great measure by the sequence of the diagnostic procedures. It is most rational to begin the examination with endoscopy of the stomach and duodenum. In the absence of abnormalities in these organs rectosigmoidoscopy or colonoscopy is undertaken next. If the source of the bleeding is not detected in this case, then the small intestine is examined by means of probe radioenterography. During the operation, at the peak of bleeding, the authors search for its source along the "track" of blood by palpating the small intestine.

Adult↗
PubMed1990

[Prevention and treatment of stress-induced ulcers].

The data presented show that along with acid-peptic aggression an important role in pathogenesis of stress ulceration in the stomach and duodenum belongs to energy and immune deficiency which makes the correction of these alterations necessary. The timely and valuable conservative therapy including histamine H2-receptor blocking agents in addition to antacids and endoscopic electrocoagulation in case of profuse bleeding from stress ulcers allows to obtain hemostasis and healing of the ulcers more than in 90% of cases. When choosing the surgical method of treatment the preference should be given to atraumatic organ-preserving operations.

Abdomen, Acute↗
PubMed1990

[Effect of truncal subdiaphragmatic vagotomy on the pain syndrome in patients with chronic recurrent pancreatitis].

Truncal subdiaphragmatic vagotomy with pyloroplasty was used in 28 patients with chronic relapsing pancreatitis, 19 of them were inclined to alcohol abuse. In 27 patients followed-up during 3 years, 18 were delivered from pain attacks resulting from chronic pancreatitis, the attacks became rarer and less intense in 4 patients, 3 patients had single attacks of pancreatic colic. In 2 patients the results of treatment were assessed as unsatisfactory due to often admission to the hospital for pain attacks. They were not found to have increased excretory and endocrine insufficiency of the pancreas in this period, but had mental disorders.

Adult↗
PubMed1989

[Status of the emptying function of the stomach in patients with duodenal ulcer after vagotomy with draining operations].

Choice of draining operations for treatment of duodenal ulcer by vagotomy is greatly responsible for the evacuatory function of the stomach in the early and remote periods after operation. In patients with stenosis of the duodenum, low localization of ulcer and considerable scarring process in the ulcer area pyloroplasty after Finney and gastroduodenoanastomosis after Jaboulay are considered to be most advantageous draining operations of the stomach. If the operations are not possible technically, shortloop gastrojejunostomy is expedient. Pyloroplasty after Heinicke-Mikulicz is admissible in patients with ulcer of the duodenal bulb in patients with not disturbed evacuation from the stomach.

Anastomosis, Surgical↗
PubMed1989

[Methods of studying motor function of the small intestine at a surgical clinic].

On the basis of 200 many-hours investigations of motor function of the duodenum and jejunum performed in experiments and clinic with the help of polydigestograph "Express-MT" five degrees of its activity were established: negative, relative rest, weak, medial and strong. High exactness of the registration of intestinal motility at the early period after operations on the abdominal organs was proved. It was found that no complete extinction of the motor function of the small intestine was observed even under conditions of diffuse peritonitis.

Catheterization↗
PubMed1989

[Vagotomy in perforated duodenal ulcers complicated by peritonitis].

Perforated ulcers of the duodenum complicated by peritonitis, its terminal phases excluded, should be treated by the same radical surgical interventions as other complications of the disease. The intervention must consist of vagotomy and draining operations on the stomach, its risk being not higher than risk of palliative operation of suturing the perforation.

Duodenal Ulcer↗
PubMed1989

[Simultaneous study of the motor and secretory functions of the small intestine following surgery of the abdominal organs in chronic experiments].

The suggested method of an experimental animal preparation for simultaneous study of the motor and secretory functions of the small intestine through the single fistula consists in transection of the intestine with its distal end tightly sutured, and the proximal one end-to-end anastomosed to the efferent loop 22-24 cm from the sutured end. Into the formed in such a way "blind" site of the intestine, a fistula is inserted, which divides it into the "secretory" (12 cm in length) and "communicant" (10 cm) segments. From the "secretory" one the pure intestinal juice is aspirated through the fistula by a catheter, and intestinal motility is registered by means of a pressure gauge brought through the "communicant" segment into the intestine.

Animals↗
PubMed1989

[Acute gastroduodenal ulcers in the early postoperative period].

Clinical observations of 146 surgical patients have confirmed high informative value of fibrogastroduodenoscopy which could reveal ulcerations in 69% of the patients examined and thus choose the adequate treatment. A thorough study of acid-forming function of the stomach as well as determination of activity of lysosomal enzymes of the gastric juice has shown that hyperacidic state of the mucosa and high activity of alcaline phosphatase of the gastric juice may be considered as risk factors of the formation of acute ulcers.

Abdomen↗
PubMed1989

[Various special problems of the treatment of acute peptic ulcer- induced gastrointestinal hemorrhage].

The work has analyzed an experience with the treatment of 1336 patients with acute gastrointestinal bleedings of ulcerous etiology, 799 of them were operated upon. All the surgical interventions were divided into 3 categories: emergency operations (immediately after admission of the patient), delayed (within 24 hs) and planned operations (3 weeks later). Operative lethality was 5.2%, 11% and 1.8% correspondingly. Heavy blood loss was most frequent in gastric ulcer (37%) and retrobulbar ulcer of the duodenum (30%), less frequent in ulcer of the duodenum bulb (6.7%) and prepyloric ulcer (4.4%). Urgent fibrogastroscopy was used not only as a diagnostic method, but also as an attempt to control bleeding. Truncular vagotomy with draining operations are thought to be preferable for duodenal ulcers, for gastric ulcer--it is resection of the organ.

Acute Disease↗