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Biomedical subjects

A I Leniushkin

Publications and source records attributed to A I Leniushkin.

At least 19 recordsLinked to original sources

[Treatment of children with diffuse polyposis of the colon].

In 1971-1990 the authors treated 41 children 3 to 15 years of age with diffuse familial polyposis of the colon (juvenile form). Forty-four operations were carried out (3 patients underwent the second operation. The authors conducted several variants of colon resection with due account for the sites of greatest accumulation of the polyps--resection of the sigmoid colon, hemicolectomy, combined resection. Progressive growth of polyps was encountered in the remaining areas in the late-term periods. In view of this, the authors recommend total colectomy with the creation of an ileorectal or ileoanal anastomosis as the method of choice. The article describes an original operative method suggested by the authors. Twenty-eight similar operations were performed with good results.

Adenomatous Polyposis Coli↗

[Pathogenesis and treatment of rectal prolapse in children].

On the basis of functional investigations of the rectoanal zone and sphincter apparatus of the rectum in its prolapse in children, the complex of conservative measures has been developed, which permitted to obtain good and satisfactory results in 98.9% of the patients.

Age Factors↗

[Extensive resection of the colon in children].

On the basis of the analysis of 98 major colonic resections in children with Hirschsprung's disease, anorectal developmental defects, diffuse colonic polyposis, the problems of mobilization of bringing down the different portions of the intestine are considered.

Adenomatous Polyposis Coli↗

[Postoperative rehabilitation of children with Hirschsprung disease].

Under study were remote results in 174 patients with Hirschsprung's disease operated upon by the method of Soave-Lyonyushkin. Among functional disturbances the patients had considerably decreased pressure in the anal canal, change of threshold parameters of the recto-anal reflex showing disturbed neuro-reflectory connections of the newly-formed rectum with the sphincter system. The restorative period after operation was considerably shorter due to purposeful curative-prophylactic measures which are necessary to be started from the very early postoperative period. The developed scheme of rehabilitation of patients after surgical treatment of Hirschsprung's disease is fairly effective which is demonstrated by high level (96.5%) of good and excellent long-term results.

Anal Canal↗

[Enteroscopy in surgical diseases of the small intestine in children].

The possibilities of combined enteroscopy in children with suspected surgical diseases of different parts of the small intestine are evaluated. Examination of the jejunum 40-150 cm below the Treitz ligament by means of a standard pediatric fibroscope followed by retrograde ileoscopy allowed an exhaustive diagnosis to be established (including localization of the pathological process) in 18 of 19 children who were operated on. No hyperdiagnosis of surgical diseases occurred. Complications of enteroscopy were not registered.

Adolescent↗