[Preparation "Santa-Rus" as a component of the lactobacterium therapy of digestive tract diseases].
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Biomedical subjects
Publications and source records attributed to Iu N Savvin.
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Out-patients medical care development represent one of the main tasks of the military medical service reforming. The essential effort focuses on a pre-hospital stage of medical aid, i.e. forming-up of day hospitals, centers of specialist care for out-patients, new personnel policy and medics' training improvement.
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816 patients were operated on because of gastric tumors; in 55 cases they were nonepithelial. Lymphomas have been found in 18 cases, glomus tumors--in 13 cases, leiomyomas, neurinomas and lipomas--in 11 cases, carcinoid--in 7 cases, aberrant pancreas--in 5 cases, gastric wall cyst--in 1 case. In half of the cases tumors were malignant. The preoperative diagnosis was absolutely correct in 30.9% patients and in 61% of cases with gastric lymphomas. All patients with nonepithelial gastric tumors should be operated on. In gastric lymphoma extirpation of the stomach is the operation of choice. In nonmalignant tumors with infiltrative growth and a size not more than 3 cm a stomach resection should be done, in a smaller size--a wedge resection and in subserous small tumors its enucleation, in submucous variant--endoscopic removal is possible.
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The article analyses the changes which have taken place during the last years in the functioning of the system of specialized medical care in the Armed Forces of Russian Federation. A new definition of this kind of medical care is given in this article, as well as its contents, components, and methods of its further improvement. The authors stress the positive results which were achieved by large multipurpose medical establishments with organic specialized medico-diagnostical units. Trends towards the further development of the system of specialized medical care were created taking into account the regional system of medical support of the Army and Navy. This article has a scientific and practical character and is interesting for the physicians and pharmacists of all specialties.
The article studies the possibilities of radionuclide method in disclosing the basic postgastroresectional syndromes: dumping syndrome, duodenogastric reflux and afferent loop syndrome. After resection of stomach 92 patients were examined throughout a period from 1 to 10 years. During dynamic scintigraphy of liver characteristic changes were disclosed in biliary secretory system which could have diagnostic significance. This method gives the possibility to determine the frequency, duration and volume of duodenogastric reflux. It was found out that Roux's [correction of Rue's] method of resection have resulted in minimal number of duodenogastric refluxes. Dynamic scintigraphy of stomach is useful for studying evacuative function of the resected stomach and for afferent loop syndrome diagnosis, which sometimes is more informative than a wide-spread barium sulfate roentgenological method.
Fifty six Nissen operations and 42 fundorrhaphies+ were performed in patients with hiatal hernias, insufficiency of the lower esophageal sphincter as well as for prophylactic purposes as an addition to vagotomy. In remote periods under examination there were 78 patients, 36 of them had different disorders, most of them of functional character which can be easily arrested by conservative methods.
A study of 269 cases of chronic duodenal ulcer showed cancer to be the cause of death in 131 (48.7%). Tumors of the lung, large bowel, prostate and kidney developed most frequently.
The incidence and degree of gastroduodenal reflux and of pathomorphological alterations in the gastric mucosa were studied in 135 patients within the period from 3 to 25 years after the surgical treatment of ulcer disease of the duodenum.
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219 patients radically operated on for large bowel cancer were followed up for 1-16 years. Polyps were detected in 81 patients (37%) (malignant ones--9.6%), relapse in anastomosis--9 (4.1%) and metachronous tumors in 5 (2.3%). Cases operated on for cancer of the rectum and left half of the colon were at particularly high risk for recurrence development.