PubMed Health⌕ Search

Biomedical subjects

I E Verkhuletskiĭ

Publications and source records attributed to I E Verkhuletskiĭ.

At least 19 recordsLinked to original sources

[The combination of ulcer disease and pancreatitis in surgical practice].

Results of treatment of 1203 patients, admitted to the hospital for an acute pancreatitis and its aggravation, were analyzed. Earlier 414 (34.5%) patients were operated for ulcer disease (UD), in 126--suturing of perforated ulcer was performed, in 159--selective proximal vagotomy with pyloroplasty, in 129--resection of stomach. After clinical examination UD of stomach was diagnosed in 141 (11.7%) patients, UD of duodenum--in 1062 (88.3%). Diagnosis of pancreatitis and UD was established basing on clinical data, instrumental, biochemical, laboratory, ultrasonic and other methods of investigation. Complex therapy was effective in 998 patients. For destructive pancreatitis 78 patients were operated, of them 9 (11.5%) died. For complication of UD on background of pancreatitis (perforation of ulcer--in 71 observation, hemorrhage--in 39, the gastric outlet stenosis--in 19) 127 patients were operated, 12 (9.5%) died. Application in complex therapy of lymphosorption and hemosorption using xenospleen had promoted the lowering of postoperative lethality.

Adult↗

[Twenty year experience in the treatment of peritonitis, multiple organ dysfunction syndrome in perforative ulcers].

The results of treatment of 573 patients, operated on the clinic for the period from 1981 to 2000 year for perforative gastroduodenal ulcer were analyzed. In 24 (4.2%) of them the necessity of relaparotomy performance for peritonitis, polyorgan insufficiency had occurred. In all patients complex intensive therapy, intestinal decompression, flowing peritoneal dialysis were conducted, in 10--the governed laparotomy. In 9 patients plasmapheresis was performed, in 8--drainage of ductus thoracicus with lymphosorption, in 7--xenosorption. Application of complex treatment equally with active detoxication in patients with peritonitis, polyorgan insufficiency have allowed to achieve recovery in 66.6% of them.

Aged↗

[Combined treatment of purulent complications of diabetes mellitus].

The results of treatment of 132 patients with the type I diabetes mellitus of middle end critical severity, trophic disorders and purulent-necrotic complications were analysed. Clinical efficacy of intravascular laser irradiation of blood, the prolongated medicinal intraarterial infusion, antioxidant therapy were established.

Adult↗

[Ways of reducing complications after the surgical treatment of peptic ulcer].

Variants of parcimonious resections of the stomach with the dissection of the lesser curvature or a selective vagotomy and the formation of the pyloric canal for the treatment of the ulcer disease of the stomach and duodenum are described. Indications for the operation have been developed. For the period from 1973 the operations were performed on 197 patients with fairly satisfactory remote results. Lethality was 0,5%.

Achlorhydria↗

[Mortality in peptic ulcer hemorrhage and ways of its reduction].

The authors have studied the results of the treatment of 9688 cases with hemorrhage of ulcer etiology. The authors believe that the lowering of the lethality in repeated or primary profuse hemorrhage may be attained through a surgical intervention at the height of hemorrhage.

Aged↗