[Method of surgical treatment in alimentary-constitutional obesity].
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Biomedical subjects
Publications and source records attributed to L Iu Markulan.
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The state of cellular and humoral immunity in patients with gastric and duodenal ulcer disease residing at the territory contaminated with radionuclides (35 patients) and at relatively clean (42) territory, as well as in 47 virtually healthy subjects was studied. It was established that in patients residing at contaminated territory, the ulcer diseases aggravated rapidly, the complications often occurred, and the immunologic indices didn't differ from those in patients residing at relatively clean territory.
In examination of 42 patients with gastric and duodenal ulcer disease, the disorders in cellular and humoral immunity were revealed. The immunologic indices didn't normalize under the influence of the operative treatment. This is indicative of the necessity to perform the immunocorrigative therapy before the operation.
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The authors studied the macro- and microstructure of the Treitz ligament and duodenojejunal flexure in 92 cadavers. The variants of the Treitz ligament diversion from the duodenojejunal flexure, its topographic anatomy are described. The effect of the Treitz ligament transection on evacuatory function of the duodenum in 3 dogs was studied. The authors consider the Treitz ligament and duodenojejunal flexure as a valve, which regulates the duodenal content emptying. The possible mechanisms of the duodenojejunal valve functioning are discussed.
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On the basis of the analysis of the use of the Roux-en-Y jejunal interposition in surgical treatment of 147 patients with diseases of the stomach and duodenum, a conclusion is made of the expediency to distinguish the special type of functional disorders developing after the operation, which are called the Roux syndrome. Clinical manifestations and methods for the treatment of the mentioned syndrome are elucidated in detail.
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