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Biomedical subjects

E S Sivash

Publications and source records attributed to E S Sivash.

At least 19 recordsLinked to original sources
PubMed1992

[Crohn's disease. The problem of early diagnosis].

A retrospective analysis was made of the diagnostic period of Crohn's disease as well as of x-ray and endoscopic signs in 28 patients. Three forms of the disease were distinguished: acute (pseudoappendicular), stenosing with chronic intestinal obstruction syndrome and primary chronic characterized by the triad (pains in the stomach, diarrhea, fever) or by the syndrome of malabsorption with extraintestinal manifestations. In the stenosing and primary chronic forms of Crohn's disease, a correct diagnosis was established in the majority of the patients 3-5 years after appearance of the symptoms. To improve early diagnosis of Crohn's disease, it is recommended that indications for x-ray and endoscopic examinations be extended. These examinations are indicated in all the patients with recurrent pains in the right iliac area, fever of obscure genesis and chronic diarrhea.

Colonoscopy↗
PubMed1992

[Gluten enteropathy].

The authors relate the results of 10 years of observations of 113 patients suffering from gluten enteropathy (GE) of the adults. In all the patients, the diagnosis was supported by the presence of hyper-regenerative atrophy of the small intestinal mucosa (total in 70% and subtotal in 30%). Metabolic disorders and cellular immunity were investigated. At the onset of the observations 70.7% of the patients demonstrated malabsorption, stage III gravity, and 29.3% stage II. It has been proved that permanent and strict adherence to the agluten diet and administration of corticosteroids in the most severe cases in combination with pathogenetic therapy of diarrhea and metabolic disorders permit attaining a steady clinical remission, improvement of normalization of the biochemical and immunological characteristics, a tendency toward normalization of the small intestinal mucosa, and even the recovery of its normal structure in part of the cases.

Adolescent↗
PubMed1991

[Current problems in the diagnosis and treatment of small intestinal diseases].

Based on the data obtained during clinical examination of 1,026 patients with small intestinal diseases the authors provide the portion of laboratory and instrumental methods employed in the diagnosis of different disease entities. The clinical picture of small intestinal diseases is mainly determined by the gravity of malabsorption. Histological examination of the small intestinal mucosa is a method of choice in the diagnosis of gluten enteropathy, Whipple's disease, primary lymphangiectasis and amyloidosis. Immunoassays play the key role in recognition of variable immunodeficiencies and disease of heavy alpha-chains. Meanwhile in differential diagnosis of Crohn's disease, small intestinal tumors, congenital abnormalities of rotation and in some others, the leading part is played by x-ray methods. The authors describe the treatment schedule based on the pathogenetic approach, that makes it possible to reach a stable clinical remission and recovery of the working capacity even in part of patients with stage III malabsorption.

Diagnosis, Differential↗
PubMed1990

[Peptic ulcer].

Explore the source record for details and available documents.

Campylobacter↗
PubMed1989

[Duodenal diverticula and organic diseases of the pancreatoduodenal area].

X-ray examination of 123 patients showed duodenal diverticula seated primarily in the descending part. In 60% of the patients, they were located in the area of the major duodenal papilla. Duodenal diverticula were coupled significantly more often with chronic pancreatitis than with chronic cholecystitis and ulcer disease of the duodenum. Combined choleduodenography is a method of choice for establishing interrelations between a diverticulum and the major duodenal papilla. In addition to parapapillary diverticula, the development of pancreatitis may be promoted by the diverticulum taking root in the pancreatic parenchyma.

Diverticulitis↗
PubMed1987

[Congenital cystoid dilatation of the intrahepatic bile ducts].

In the world literature there are descriptions of about 60 cases of the Caroli disease representing a congenital dilatation of intrahepatic bile ducts. Unlike true cysts of the liver the cystoid dilatation of the ducts in Caroli disease contains bile and features of chronic cholangitis prevail in the clinical picture of the disease. The diagnostics is difficult. Intraoperative cholangiography is the most informative method.

Adult↗
PubMed1984

[Diagnosis of pseudotumorous forms of chronic recurrent pancreatitis].

On the basis of an analysis of clinical, laboratory and rentgenological data of the examination of 39 patients with pseudotumorous, pancreatitis a conclusion is made that choleduodenography is of major significance among different rentgenological methods. It allows differentiation between pancreatitis and carcinoma of the pancreas head according to the state of extrahepatic ducts and duodenum. In most difficult cases the final diagnosis could be made only by the data of operation biopsy.

Adult↗