[Study of the secretory function of the stomach in myasthenia before and after thymectomy].
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Biomedical subjects
Publications and source records attributed to G M Smakov.
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Based on anatomical studies and clinical observations the authors concluded that a mechanic suture and subsequent closure of the pancreatic stump with an absominal graft covering the gland, or that procured from the transverse colon mesentery seemed to be an optimum procedure in pancreatic resection.
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The results of coprological studies demonstrated that prior to thymectomia, in most of the patients with myasthenia there was a disturbed assimilation of lipids and carbohydrates, while as in 1/3 - a disturbed assimilation of proteins. These disorders were the reasons for a significant drop of weight in 60.9% of the patients. Following thymectomia with an improvement of the general state and a rehabilitation of transverse striped muscles there are, as a rule, positive dynamics in the assimilation of the above-mentioned food ingredients. Thus, the achieved results may indicate to a functional character of the changes in the digestive organs in myasthenia.
The authors examined 8 patients with isolated and associated injuries of the pancreas. It is concluded that the correct preoperative diagnosis of pancreatic injuries present considerable difficulties and seems to be feasible in single cases due to the absence of pathognomonic symptoms. It is the authors' opinion that a selection of the optimum extent of surgical intervention should be made individually, depending on the character of anatomical changes in the pancreas, the presence of associated injuries, concomitant lesions, general patient's state, etc.
The author studied the intestinocolonic function by X-ray methods in 84 patients with generalized myasthenia prior to and following surgical treatment (thymectomia). It was established that in myasthenia the intestinal motor function in the majority of the patients is decreased. These motor disorders have a functional character and are connected with the main disease. They disappear after operations as the function of the cross-sectional striped and smooth muscles are restituted.
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The authors describe 21 complications which occurred in puncture catheterization of the subclavian vein in 1,276 (1.65%) patients. They varied widely in character--hemothorax, pneumothorax, thrombosis of the subclavian vein, etc. The case record of one patient with traumatic pneumothorax after puncture catheterization of the subclavian vein is discussed in detail.
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