[Esophagitis in portal hypertension patients].
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Biomedical subjects
Publications and source records attributed to M D Patsiora.
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Having studied the experience of 84 resections of the oesophagus and gastric cardia in patients with portal hypertension and taking into account postoperative complications (reflux-oesophagitis, progressing loss of weight, dispeptic disorders, phenomena of agastric asthenia etc.) the authors came to a conclusion that the indications for this surgical intervention should be lessened and recommended the indication to be justified only as the last attempt of the surgeon in his struggle against recurrent hemorrhage from varicose veins of the oesophagus which should be preceded with transthoracic oesophago- or gastrotomy with the ligation of varicose veins.
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The technique of the thoracic duct drainage is described. The importance of preserving the natural lymph outflow is emphasized. A method of controlled thoracic duct drainage is introduced that permits dosaged exteriorization of the lymph and additional internal drainage of the lymph into the veins via an external bypass for a long period of time. The results of the employment of controlled thoracic duct drainage in 33 patients are presented. A clear clinical effect was received in 65% of the cases. The authors conclude that controlled drainage of the thoracic duct is an effective method of treatment.