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Biomedical subjects

I I Bachev

Publications and source records attributed to I I Bachev.

At least 19 recordsLinked to original sources
PubMed1992

[Improvement of treatment results in patients with peptic ulcer].

A total of 980 patients operated on for peptic ulcer of the stomach and duodenum were followed up. Out of them 784 (80%) patients had complications: 273 (27.9%)--perforations, 263 (26.8%)--bleedings, 165 (16.8%)--stenosis, 67 (6.8%)--penetration, 16 (1.6%)--malignant transformation of the ulcer, the rest of them, 19 (20%) patients, had chronic callous ulcers. Factors of risk for complications associated with peptic ulcer were indicated. Timely planned surgical intervention advancing the development of severe complications is found to be necessary for the improvement of the therapeutic response.

Acute Disease↗
PubMed1991

[Risk factors of complications of peptic ulcer by acute hemorrhage and perforation].

An analysis of results of operative treatment of 945 patients with peptic ulcers has been made. Among the factors responsible for bleeding the author names the elder age of the patients, bleeding in medical history, localization of the ulcer on the posterior wall of the duodenum, in the middle and upper thirds of the stomach on the lesser curvature, large size of the ulcer, penetration of the ulcer into the pancreas and liver. Perforations are potentially dangerous for ulcers of the frontal wall of the pyloroduodenal zone in patients of young and middle age with an aggressive course of the disease.

Acute Disease↗
PubMed1991

[Surgical treatment of multiple and associated gastroduodenal ulcers].

Operated on were 53 patients with multiple and associated gastric and duodenal ulcers, which were characterized by a high rate of complications (54.7%) and low effectiveness of the conservative treatment. Gastric resection with removal of the pathologically changed areas was the main operation. After the operation, 2 (3.7%) patients died.

Adolescent↗
PubMed1991

[Surgical treatment of acute complications of gastroduodenal ulcer].

Operations were carried out on 258 patients with perforating ulcer and on 256 patients with acute bleeding from the ulcer. Perforating ulcer was managed by its closure with sutures in 226 patients (87.6%), by its excision with pyloroplasty and vagotomy in 4 (1.5%), and by primary resection of the stomach in 28 patients (10.9%). Postoperative mortality was 4.65%. In acute hemorrhage 221 patients (86.3%) were subjected to resection of the stomach, 6 (2.4%) to vagotomy with economical resection of the stomach, and 29 patients (11.3%) to excision of the ulcer or stitching of the bleeding vessel. The postoperative mortality was 7.8%.

Acute Disease↗
PubMed1991

[Risk of gastroduodenal ulcer complication by acute hemorrhage].

Altogether 945 patients with gastroduodenal ulcer were examined. Of these, 256 patients had ulcer complicated by acute hemorrhage and 689 without hemorrhage. Patients in whom ulcer was on the posterior wall of the duodenum or on the lesser curvature of the stomach and those with sizable ulcers, multiple ulcers and ulcer penetration to the pancreas and liver were distinguished. The presence in the patients of risk factors may provide evidence in favour of elective surgery.

Female↗
PubMed1990

[Perforating ulcer of the stomach and duodenum: the risk factors, surgical treatment and its results].

258 patients with peptic ulcer underwent surgical treatment for perforation. Ulcer suturing was carried out in 226 patients (87.6%), the rest were subjected to other operations. Overall postoperative mortality was 4.6%. Suture of ulcer is surgery of choice. Fifty-five operations for recurrent ulcer after suture of perforating gastroduodenal ulcers brought to conclusion on defective antiulcer treatment which followed the suture of perforating ulcer. Gastric resection was conducted in 53 patients, other operations in 2 patients. One patient died after repeated surgery (1.8%). Gastric resection is surgery of choice in recurrent ulcers.

Adolescent↗
PubMed1990

[Gallstone-induced intestinal obstruction].

Six patients with gallstone ileus were under observation. The diagnosis was not established before the operation. Surgery was undertaken for acute ileus without identification of the cause. Stones in the intestinal lumen were an unexpected operative finding. The operation of choice was a minimal intervention for the restoration of intestinal continuity (enterolithotomy, resection of the intestine whenever necessary). Five patients recovered, one died.

Acute Disease↗
PubMed1990

[Reoperations in ulcer recurrence after surgical treatment of peptic ulcer].

Operations were carried out on 60 patients with recurrent ulcers after closure of perforated gastroduodenal ulcers (49), resection of the stomach (9), and gastroenterostomy (2). Various complications of the ulcer were encountered in 46 of them. A relationship was found between the recurrence and the inadequacy of antiulcerative therapy after closure of the perforated ulcers. The reoperations consisted in resection (48) and reresection (6) of the stomach and other operations (6). Two (3.3%) patients died after the operation. Resection and reresection of the stomach are the operations of choice in recurrent ulcers.

Adolescent↗