Biomedical subjects

A L Shestakov

Publications and source records attributed to A L Shestakov.

6 recordsLinked to original sources

PubMed1999

[Minimally invasive methods for treatment of cholelithiasis, complicated by choledocholithiasis].

Disease of the common bile duct (choledochal duct) was revealed in 18 from 531 patients with bile tract lithiasis (3.4%), who underwent laparoscopic cholecystectomy and in 3 of 72 patients (5.4%), who underwent cholecystectomy through minilaparotomy approach. Stenosis of the large duodenal papilla was observed in 14 patients, choledocholithiasis in 9 patients. Endoscopic papillosphincterotomy (EPST) was performed in all cases. There were no complications. In 2 cases moderate amylasemia was detected. Laparoscopic cholecystectomy was performed 5 days after the procedure on the large duodenal papilla (5.1 days mean). Intervention with the use of mini-approach after EPST was carried out in patient with concrement of gall bladder duct stump, which was revealed 3 months after laparoscopic cholecystectomy. Mini-approach made it possible to perform reconstructive operations on bile ducts in combination with cholecystectomy in 3 patients. At present there are many tools which enable combined treatment of the bile tract lithiasis complicated by bile ducts pathology with low-invasive technique.

Adult↗

PubMed1998

[Surgical treatment of reflux esophagitis and peptic stricture of esophagus].

Reflux-esophagitis is wide-spread and frequently diagnosed disease, which is found in persons of young and adult age. The main kind of treatment is conservative one, however sometimes reflux-esophagitis is accompanied by complications, dangerous for life, which require surgical treatment. Experience of surgical treatment of 720 patients is available. Fundoplication procedure in RCS modification combined with SPV is main and optimal operation. This operation is possible in more than 2/3 cases of surgical treatment of reflux-esophagitis and peptic stricture of the esophagus. If it is found to be impossible to carry out organ saving procedure in severe reflux-esophagitis and irreversible peptic stricture of the esophagus the operation of choice should be extirpation of the esophagus and gastroplasty with gastric tube or large bowel and simultaneous creation of anastomosis in the neck. This was carried out in 38 patients with favourable outcomes.

Adult↗

PubMed1997

[Low-invasive interventions in abdominal surgery].

Low-invasive interventions have now become the usual practice of a surgical unit. Nowadays operations on abdominal and small pelvic organs can be made by using the Russian equipment. In all, more than half the patients with cholelithiasis and its complications, chronic appendicitis, inguinal hernias were operated on by employing video endoscopic equipment (Endomedium, Kazan) and miniaccess-intervention instruments (SAN, Yekaterinburg). The outcomes of surgical treatment are summarized in the paper. The benefits and drawbacks of low-invasive intervention procedures, the advantages of various operation in different groups of patients are dealt with. The feasibility of combined operations and treatment in patients with cholelithiasis is discussed.

Abdomen↗

PubMed1993

[Psychosomatic aspects of diagnosis and treatment of neuromuscular esophageal diseases].

The authors examined a group of 42 patients with neuromuscular diseases of the esophagus. They distinguished a group of patients who were not treated previously, a group with recurrent neuromuscular diseases of the esophagus in high tonues of the cardia, and a group of patients with a recurrence in normal or low tonus of the cardia. All patients underwent roentgenoscopy of the esophagus and stomach, esophagogastroscopy, and esophagomanometry, as well as clinico-psycho-diagnostic examination. Polymorphism of psychic reactions with predominance of anxiety and depression was revealed in the group of untreated patients, tendency to develop static forms of psychic and somatic responses and mild excitability were encountered in the group of patients with a recurrence in increased cardiac tonus. In patients with a recurrence in low tonus of physiological cardia the condition was determined by hystero-hypochondriac, alarming-depressive disorders. Clinocopsycho-diagnostic examination made it possible to develop averaged schemes of psychotropic therapy according to the groups of patients.

Adolescent↗

PubMed1990

[Complex treatment of neuromuscular diseases of the esophagus].

Under examination there were 29 patients with neuromuscular diseases of the esophagus using clinico-psychodiagnostic investigations on the basis of the method of multilateral examination of the person. The treatment of patients also included a course of psychotropic therapy. The results obtained are discussed in different groups of patients with neuromuscular diseases of the esophagus. Immediate results of the treatment were satisfactory.

Acupuncture Therapy↗

PubMedDate not supplied

[The recurrence of dysphagia in patients with neuromuscular diseases of the esophagus with normal or low pressure indices in the physiological cardia].

The authors examined 47 patients with recurrent cardiospasm or achalasia of the cardia after dilatation or operations in normal or low esophago-gastric pressure gradient. The findings of clinical, radiological, endoscopic, and esophagomanometric examination of patients are shown. The article discusses the results of drug treatment, pneumatic dilatations, operative interventions in this group of patients. The probable causes of the development of dysphagia in normal values of pressure in the physiological cardia are considered.

Adolescent↗