[Problems with ileostomies (review of the literature)].
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Biomedical subjects
Publications and source records attributed to A M Nikitin.
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Experience with the treatment of patients with multiple polyps of the colon is analyzed. They had large polyps and polyps with the diameter not more than 0,5 cm. The findings of morphological examination of such polyps and results of the dispensary observation of patients with non-ablated small polyps are described. A conclusion is made of the expediency of more active surgical tactics in relation to polyps less than 0,5 cm in diameter in this group of patients.
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The paper presents a description of 9 cases of pararectal fat tissue sarcoma which have amounted to 12.8% of all benign and malignant tumors of this site registered within the last 13 years. Clinical course, procedures for diagnosis, surgical treatment and its results are discussed.
279 radical surgical interventions for diffuse polyposis of the colon were performed. Lethality was 11,4%. Postoperative peritonitis was noted in 16,8%. The radical surgery was necessary before the appearance of cancer, the operation being performed following the purposeful correction of metabolic and immunological disorders.
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Two rare observations in which villous tumors affected the mucous membranes of the rectum and transverse colon are described. In one case the lesions extended for 60 cm, in the other the neoplasm occupied the entire inner surface of the rectum and colon as well as the adjacent area of the ileum, whereas in the area of the liver and spleen bends there were areas of adenocarcinoma. Both observations were characterized by marked inflammatory infiltration in some parts of the villous tumor.
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