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Biomedical subjects

A I Gorbashko

Publications and source records attributed to A I Gorbashko.

At least 37 records · Page 2Linked to original sources

[Endoscopic evaluation of reflux gastritis in patients operated on for stomach and duodenal ulcers].

An analysis of results of the endoscopic examination of 320 patients who had been subjected to various operations for ulcer disease of the stomach and duodenum has shown that sphincter-preserving operations (selective proximal vagotomy without drainage of the stomach and pylorus-preserving resection of the stomach) in treatment of ulcer disease of the stomach and duodenum with correction of disturbances of duodenal passability is the most reliable method for prevention of duodeno-gastric reflux and reflux-gastritis.

Drainage↗

[Prevention of reflux esophagitis after gastrectomy by the Hofmeister-Finsterer method].

The work generalizes results of diagnostics, prophylactics and treatment of reflux-esophagitis in 174 patients with resection of the stomach by the method of Hofmeister--Finsterer. The preventive use of antireflux operations (frontal crurorrhaphy and fundoesophagophrenorrhaphy) proved to be effective. Resection of the stomach in combination with hiatoplasty was followed by a less amount of reflux-esophagitis (from 48% to 10%) in the remote postoperative period.

Duodenal Ulcer↗

[Gastric resection with preservation of the pyloric sphincter in treating patients with duodenal ulcer].

An experience with pylorus-preserving resections of the stomach in 27 patients with duodenal ulcer and very high acid production is described. Specific technical features of this operation, immediate and long-term results are analyzed. Rhythmic evacuation was preserved in addition to a reliable drop of the acid production. Gastroduodenal reflux was prevented. Positive results were noted in all the examined patients in the remote follow-up.

Anastomosis, Surgical↗

[Complex roentgenoendoscopic examinations in the diagnosis of hiatal hernia and functional insufficiency of the cardia].

The authors make an analysis of findings of endoscopic and rentgenological methods of examination of patients with incompetent closing apparatus of the cardioesophageal zone which increased the informative value and rentgen-endoscopic criteria of diagnostics of hiatal hernias and functional incompetence of the cardia, helped to find out their correlation with disturbed functions of the esophagus, stomach and duodenum. The correct diagnosis in its turn facilitates choice of the adequate method of treatment.

Cardia↗

[Features of the surgical treatment of postbulbar ulcers of the duodenum].

The article describes main principles of the operative treatment of 42 patients with postbulbar ulcers. Choice of the surgical method was individualized: resection for the "exclusion" was used in 25 patients, gastric resection with the excision of the ulcer--in 11 patients, organ preserving operations--in 5 patients. The operations made for the "exclusion" gave most favourable immediate and long-term results. Technical details of the operations are described.

Duodenal Ulcer↗

[Pathological states following vagotomy].

The work generalized the authors' experience with the treatment of 83 patients with pathological states after vagotomy. On 61 of them operations were performed, 22 patients were subjected to conservative treatment. Organic disorders were revealed in 48.4%, functional disturbances were found in 22.9%; 28.7% of the patients had associated disorders. The conservative treatment was not effective enough. Good long-term results after operative reconstructive-restorative operations and resections of the stomach were obtained in 96.7%.

Drainage↗

[Means of improving the surgical treatment of gastric and duodenal peptic ulcer].

Based upon the experience with the treatment of 2312 patients with ulcer disease of the stomach and duodenum the authors analysed the major tasks which must be solved for obtaining better immediate and long-term results of the surgical treatment. In 1880 (81,3%) of the patients with a gastric ulcer and a complicated ulcer of the duodenum the stomach resection gave favorable outcomes in 98,6%. In 432 patients (18,7%) organ-preserving operations were made, in 185 of them it was vagotomy. The vagotomy was followed by recovery of 99,5% of the patients. Longterm results were studied in 1486 patients. Bad outcomes were noted in 34 patients (2,4%) after stomach resections and in 16 patients (11%) after vagotomy.

Adolescent↗

[Reconstructive surgery in postgastrectomy syndromes].

An experience with the treatment of 429 patients with postgastroresection syndrome was generalized, in 231 out of them (53,8%) associated pathological conditions had been revealed. The selection of the method of treatment was dependent on clinical manifestations of the syndrome and its causes. The surgical treatment was used in 226 patients (52,7%). Resections occupied the first place (69,5%) among the reconstructive operations. Long-term results in 95,2% of the examined patients were excellent, good and satisfactory.

Adolescent↗

[Technical characteristics of selective proximal vagotomy].

The work describes and presents original illustrations of specific features of the technique of selective proximal vagotomy developed in anatomo-surgical examinations and successfully used in 108 patients with duodenal ulcer. The follow-up investigation of remote results later than 3 years showed good results in 94% of the patients examined.

Adult↗