[Leiomyoma of the small intestine complicated by recurrent hemorrhage].
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Biomedical subjects
Publications and source records attributed to K V Tatochenko.
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A method of transcutaneous transhepatic injection hepatography with local fine-needle anesthesia was developed. Its informative value is shown in investigations of the intrahepatic veins, lymphatic system and their interrelationships at the sinusoidal level. The method is noninvasive and can be performed in a therapy department. Injection hepatography can be followed by liver biopsy in the same liver segment. The quality of investigation increases with the use of an attachment for computerized radiography.
The paper is concerned with original methods of balloon dilatation with high-pressure low-profile balloon catheters of Grüntzig type of pyloric and duodenal stenoses. A new informative method of recording of this procedure and its results with computer for radiography was described. In 10 patients this method was used alone as well as in combination with sparing operation--selective proximal vagotomy. In 80% of cases a positive effect of this procedure was obtained and confirmed by clinical observation and instrumental methods. No complications were noted. Therefore this methods could be recommended for a wider clinical use.
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A statistical investigation of the effectiveness of endoscopic retrograde cholangiography in 223 patients and percutaneous transhepatic cholangiography in 204 patients was performed. In typical cases of obturative jaundice of unclear etiology the endoscopic retrograde cholangiography is recommended to patients with the level of general bilirubin lower than 10 mg%, percutaneous transhepatic cholangiography--to patients with the level higher than 10 mg%.
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Vital roentgenocontrast investigation of the pancreatic veins has been performed in 125 selective phlebographies of the portal system performed by means of probing through the skin and hepatic catheterization, as well as by means of blood samples from the pancreatic veins. Standard points of the ostia position of the most constantly revealed veins are demonstrated. Accordance between the veins and the glandular parts they drain is described. This makes it possible to localize with certainty hormonally active neoplasms in the organ.
Based on his experience with 170 cholangiographies performed with using transhepatic access and curative measures in the course of cholagiographies the author gives recommendations on modelling certain devices. Characteristics of catheters and endoprostheses for a simple percutaneous external bile elimination, bougieurage and endoprosthesis of dilated bile ducts are given.
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On the basis of the experience with 54 transhepatic portographies and 120 super-selective catheterizations of the portal vein branches by various methods the authors give recommendations for choosing the optimum variant of the roentgenological examination of the portal system with individual features of the patients taken into account and with special reference to topographic points.
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