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Biomedical subjects

G Kondarev

Publications and source records attributed to G Kondarev.

12 recordsLinked to original sources

[Colorectal localization in Crohn's disease--diagnostics and surgical treatment].

During the last years there is an increase in the number of cases with Crohn's disease. According to different statistic data the localizations are arranged as follows depending on the frequency of occurrence: ileocolic segment localization is the first--41%, followed by colorectal localization--30% and small intestinal one--29%. For a period of five years 12 patients with Crohn's disease, including 7 women and 5 men, were treated in the clinic. Regarding the localization the cases were as follows: 7 in the sigma-rectum transition area, 4 in the cecal area and 1 in the rectal area. All patient were operated and they were in a serious acute form of the disease. The operative intervention, which were made, differed in number: Hartman resection of the sigma--4, sigma resection with primary anastomosis--2; left hemicolectomy--1, right hemicolectomy--3, ileotransverzoanastomosis--1, resectio recti anterior--1. The final diagnosis was given after histological examination.

Acute Disease↗

[Foreign bodies in the esophagus not removable endoscopically--the surgical procedure and treatment].

During 1991-1997 period 37 patients with foreign bodies in the esophagus were treated in our clinic. In 36 cases the foreign body was "starlet". That is a construction made for this special purpose. It lodges mainly in the upper digestive tract. The most usual localization is the middle third of the esophagus. Unlike the foreign bodies that impact there by accident the operative activity is very high in these cases. Out of the total number of 37 patients 22 were operated, in 7 cases an endoscopic extraction was performed and in one case the foreign body eliminated spontaneously. Three patients died before we performed any manipulations whatsoever and four of them refused any treatment. We offer methods for treating such patients which in our opinion are the most appropriate ones for this type of pathology.

Esophagoscopy↗

[A method for the intraoperative localization of foreign bodies in the esophagus not removable endoscopically].

In the last years the cases of swallowing deliberately "starlet" foreign bodies made especially for that purpose became more often. They lodge mostly in the esophagus. In most of the cases the endoscopic extraction is impossible and the only way for removing the body is by operation. Usually the patients are operated after the foreign body has been for a long period there and it is found that there are serious esophagitis, periesophagitis and mediastinitis. That makes it difficult to localize the foreign body and necessitates making a big esophagotomy which complicates the post-operative period. We work out a method for intraoperative localization of endoscopically unremovable foreign bodies in the esophagus. This method has a number of advantages and they improve the results from the surgical treatment of these patients.

Esophagoscopes↗