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Biomedical subjects

L G Khachiev

Publications and source records attributed to L G Khachiev.

At least 19 recordsLinked to original sources
PubMed1995

[Reconstructive operations in peptic ulcers of the gastroenteric anastomosis following gastric resection].

In 78 from 121 patients with peptic ulcers the cause of the appearance of the ulcer was the insufficient volume of resection of the stomach. As a rule resection was performed with transformation of gastrojejunal anastomosis into gastroduodenal one with the abdominal bilateral subdiaphragmatic vagotomy. The isolated vagotomy in peptic ulcers after resection of the stomach was not fulfilled as a rule. Vagotomy was not used for the treatment of peptic ulcers after gastroenteroanastomosis.

Anastomosis, Surgical↗
PubMed1993

[Surgical methods in recurrent peptic ulcer after vagotomy].

In treatment of recurrent and peptic postvagotomy ulcer, the performance of gastric resection is indicated. Of 53 patients with a recurrent ulcer, 20 had a "difficult" low penetrating ulcer. With the aim ot prevent duodenal suture failure, gastric resection in these patients was performed using the developed by the authors method which permitted to ensure safety of the single-layer suture of a duodenal stump with preservation of food passage through the duodenum. After truncal vagotomy with Jaboulay drainage operation, a defect in the duodenal wall was eliminated by means of creation of anastomosis with a gastric stump.

Adult↗
PubMed1990

[Surgical tactics in bleeding duodenal ulcers].

The article gives a review of literature on the determination of surgical tactics in patients with duodenal ulcer complicated by bleeding. The authors are supporters of the actively-temporizing tactics. They claim that the period of the delay in the decision should not exceed 24 hours and depends on the intensity of the bleeding, the degree of blood loss, the location and nature of the ulcer, the patient's age, and the concomitant diseases. They believe resection of the stomach to be the operation of choice in bleeding duodenal ulcer. One of the authors suggested a modified method of gastric resection in "difficult" duodenal ulcers which excludes the occurrence of incompetence of the duodenal stump sutures.

Aged↗
PubMed1990

[Corrective and reconstructive operations in post-vagotomy syndromes].

Among 322 patients with postvagotomy syndromes who were examined by the authors, 133 were subjected to reconstructive and corrective operations. Most of the patients (73.7%) who underwent surgery for the second time suffered from peptic, recurrent, and persisting ulcers due to vagotomy. The authors give preference to resection methods in recurrent ulcer after vagotomy and do not resort to revagotomy in an isolated form. The authors propose a new method for resection of the stomach in peptic ulcers after vagotomy with gastroduodenoanastomosis by the Jaboulay procedure. In the authors' opinion, the choice of method for reconstructive operations should be made with due regard for the pattern of a complication, the type of a primary surgery, and causes of their development.

Duodenal Ulcer↗
PubMed1987

[Remote results of the surgical treatment of peptic post-gastrectomy and non-healing ulcers and recurrent post-vagotomy ulcers].

Operations were performed on 130 patients with various forms of recurrent ulcers. An analysis of late results (up to 8 years) in 76 patients has shown that stable healing was achieved in most of the patients treated by all reconstructive and correcting methods. The most justified intervention for peptic postgastroresectional ulcers is thought to be resection which may be accompanied by truncal vagotomy. Antral resection of the stomach is the method of choice in peptic, recurrent and long-standing ulcers after different variants of vagotomy.

Duodenal Ulcer↗
PubMed1985

[Motor-emptying function of the stomach at different periods after truncal vagotomy with antrumectomy in complicated duodenal ulcer].

The paper is devoted to analysis of results of the investigation of the motor-evacuatory function of the stomach at different terms after truncal vagotomy with antrumectomy in patients with complicated duodenal ulcers. Postvagotomy gastrostasis was shown to be twice more frequent after antral resection with anastomosis by Billroth-I than by billroth-II. Truncal vagotomy with antrumectomy is not recommended for patients with duodenal ulcers complicated by decompensated stenosis. Gastric resection is thought to be the operation of choice in such cases.

Adolescent↗