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Biomedical subjects

B Sh Badurov

Publications and source records attributed to B Sh Badurov.

9 recordsLinked to original sources

[Differential treatment of gastroduodenal ulcerous bleedings].

Results of treatment of 827 patients with bleedings from chronic gastric and duodenal ulcers are analyzed. Potentialities of various methods of endoscopic hemostasis were studied. Diathermocoagulation was the least effective method of hemostasis (59%). Irrigation of the bleeding source provided hemostasis in 88.7% patients, combined methods - in 94.1%. Methods of irrigation are appropriate in diffuse bleeding from ulcer (Forrest 1B). Stream bleeding (Forrest 1A) is indication for combined methods of hemostasis. It is demonstrated that type of endoscopic procedure does not influence rate of bleeding recurrences. The main element of conservative treatment of gastroduodenal ulcerous bleedings is antisecretory therapy. Proton pump blockers are more effective than H2-blockers; the rate of recurrences was 5.0 and 28.9%, respectively. Prediction of bleeding recurrences and preventive operations are the main way to treatment results improvement.

Adolescent↗

[Duodeno-gastric reflux and its consequences after resection of stomach by Billroth II and Roux methods].

The severity of the duodenogastral reflux (DGR) and its deteriorative effect on the mucous membrane of gastric stump with the help of dynamic scintigraphy of the liver, fibrogastroscopy, morphological and morphometrical methods in patients, who underwent stomach resection by Billroth-2 and Roux methods, were studied. It was established, that after resection of the stomach by Billroth-2, extensive DGR appeared, vachiny 14.8%. At the same time extensive inflammatory, atrophyc and methaplastic changes are developed in the mucous membrane of the gastric stump disregeneration and prolipherative processes were progressing. The optimal gastroenteroanastomosis, preventing reflux of duodenal contents into gastric stump lumen and development of its extensive morphological changes, is considered to be Roux type anastomosis with distal (efferent) loop 40 cm of length (DGR made up 0.9%).

Anastomosis, Roux-en-Y↗

[The radionuclide diagnosis of post-gastric resection disorders].

The article studies the possibilities of radionuclide method in disclosing the basic postgastroresectional syndromes: dumping syndrome, duodenogastric reflux and afferent loop syndrome. After resection of stomach 92 patients were examined throughout a period from 1 to 10 years. During dynamic scintigraphy of liver characteristic changes were disclosed in biliary secretory system which could have diagnostic significance. This method gives the possibility to determine the frequency, duration and volume of duodenogastric reflux. It was found out that Roux's [correction of Rue's] method of resection have resulted in minimal number of duodenogastric refluxes. Dynamic scintigraphy of stomach is useful for studying evacuative function of the resected stomach and for afferent loop syndrome diagnosis, which sometimes is more informative than a wide-spread barium sulfate roentgenological method.

Diagnosis, Differential↗

[Annular pancreas].

Brief clinico-rentgenological characteristics of annular pancreas are described on the basis of 5 personal clinical observations and literature data. Recommendations for choosing the optimal surgical procedures are given. Collateral anastomoses are thought to be expedient in combination with vagotomy or without them.

Adult↗

[Early relaparotomy after operations on the stomach].

The analysis of intraperitoneal complication having developed after operations on stomach has been carried out. For these complications 104 patients (9.1%) have undergone relaparotomy. The most frequent causes of relaparotomy appeared to be peritonitis (47.1%), adhesive obstruction (12.5%) and pancreonecrosis (11.5%). For recent 10 years such complications as peritonitis and adhesive obstruction are met rarely that resulted in lowering of relaparotomy cases to 6.2%. Distinct relation between the type of operation carried out and the frequency of development of postoperative intraperitoneal complications has been noted. Diagnostic defects and intraperitoneal complication treatment were revealed in 26% of cases. Lethality in this group of patients was 92.6%. Early diagnostics and adequate treatment of occurring intraperitoneal complications have been found to be one of the best methods of improvement of stomach surgery results.

Aged↗