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Biomedical subjects

P M Bogopol'skiĭ

Publications and source records attributed to P M Bogopol'skiĭ.

16 recordsLinked to original sources
PubMed2005

[Surgical treatment of complicated ulcers of cardia and sub-cardia].

Two hundred and two patients with ulcers of a proximal part of the stomach (17.5% of all patients with gastric ulcer) were treated. In 135 (64.9%) patients these ulcers were complicated: in 28 (20.7%) -- malignant ulcers, in 42 (31.1%) -- bleeding ulcers, in 53 (39.3%) -- penetrating ones. Surgery was performed in 142 (70.3%) patients. A high rate of complications dictates a need to reduce period of conservative treatment of such ulcers to 6 months -- 1 year. Distal and proximal resection of the stomach are main surgeries in elective surgical treatment of patients with benign ulcers of cardia and sub-cardia. In malignant transformation gastrectomy is the most preferable. Suturing is indicated in perforated and bleeding ulcers, and if it is impossible -- distal subtotal resection of the stomach.

Cardia↗
PubMed1998

[The experience of 1100 esophagoplasties].

The experience of esophagoplasties in various benign diseases (566) and cancer (534) of the esophagus is outlined. The operation of choice now is extirpation of the esophagus by cervico-abdominal approach with one-state posterior-mediastinal esophagoplasty by the stomach or (in case of impossibility to form the graft from the stomach)--large bowel. If there are contraindications to such operation or in case of necessity of one-stage reconstruction of the pharynx the optimal operation is sub- and total bypass esophagoplasty by the large bowel.

Contraindications↗
PubMed1998

[Bougienage of esophagus in critical burn strictures].

Bougienage was made in 625 patients with burn strictures of the esophague which made up 59.4% of all patients (1053) who have undergone treatment since 1966 to October 1977 in Research Center of Surgery. Indications and contraindications for bougienage are discussed. In patients with short strictures (146) good effect was obtained in 83.1% of cases, in long strictures (803) the bougienage was effective in 61.1% of patients, in total strictures (104) good and favourable results were obtained in 26.2% of cases. Bougienage is an important method of treatment for patients with burn strictures of the esophagus, as well as a method of preoperative preparation.

Adolescent↗
PubMed1996

[One-stage esophagoplasty with pathologically changed or previously operated stomach].

The results of esophagus extirpation with subsequent one-stage esophagoplasty by pathologically changed or previously operated stomach in 50 patients are analysed. 2 patients had gastric and esophagus cancer and 48 patients esophagus strictures. 36 patients had been previously operated on their stomach, 10 patients had scar deformation of the stomach after thermal burns, 2 patients had a giant leiomyoma. Isoperistaltic gastric tube was used as an esophagus substitute. The postoperative mortality rate was 2,1%. The optimal method of surgical treatment of the combined gastric and esophagus lesions is recommended.

Adolescent↗
PubMed1992

[The technic of esophageal extirpation with one-stage esophagoplasty using a stomach tube].

The article deals with the technical aspects of operation for extirpation of the esophagus through a cervico-abdominal approach in carcinoma (133 operations) and benign esophageal strictures (117 operations) with one-stage plastics by means of an isoperistaltic tube formed from the greater curvature of the stomach. The relative safety (2.8% of patients died) and high efficacy of the described operation allow it to be recommended for wide introduction into the practice of institutions engaged in surgery of the esophagus.

Anastomosis, Surgical↗
PubMed1992

[The treatment of the sequelae of penetrating injuries to the esophagus].

On the basis of experience in the treatment of the sequelae of penetrating esophageal injuries in 79 patients the authors divided the patients into 3 groups: those in whom the perforation healed and stricture of the esophagus developed; patients with incurable purulent complications and esophageal fistulas; patients who underwent various operative interventions for acute perforation or its sequelae and needed a reconstructive operation. Recommendations on the choice of adequate therapeutic tactics for each group are given. The method of examination of the patients and the peculiarities of surgical treatment are described in detail. The most frequently encountered complications and the produced results are analysed. It is concluded that patients with sequelae of esophageal perforation must be treated at specialized clinics experienced in the management of this severe condition.

Adolescent↗
PubMed1991

[Repeated anti-reflux operations].

The authors had under observation 73 patients who underwent various antireflux operations with poor results, 68 of them were subjected to repeated interventions, fundoplication in most cases. The causes of failure of primary and repeated antireflux operations are analysed, the indications for and the techniques of reconstructive interventions are discussed. It is emphasized that patients with hiatal hernia and reflux esophagitis must be concentrated in specialized medical institutions.

Adolescent↗
PubMed1991

[Results of conservative treatment of short burn-induced strictures of the esophagus].

The authors had 135 patients with short esophageal burn strictures, 120 of them were treated by bougienage. The immediate and late-term results of treatment of this category of patients were studied. A complex of methods for the examination of patients with short burn strictures of the esophagus was defined concretely. Bougienage along a string-guide under ++roentgeno-television control is the main method for the treatment of this category of patients, it produced good results in 83.3% of cases. The optimal bougienage methods and operative treatment of such patients were elaborated.

Adult↗
PubMed1991

[Clinical aspects, diagnosis and treatment of esophageal spasm].

Esophageal spasm Teschendorf 's syndrome) is rarely distinguished among neuromuscular diseases of the esophagus, which leads to improper treatment. Primary esophageal spasm and secondary esophageal spasm should be distinguished, the latter developing in cardiospasm or achylia of the cardia. Retrosternal pain and dysphagia prevail in the clinical picture of ++esophageal spasm . X-ray and esophagomanometry are the most informative among the objective methods of examination. In a group of 106 patients 49 had primary and 57 had secondary esophageal spasm . A complex of measures should be applied in the management of esophageal spasm+. Primary esophageal spasm is treated only by nonoperative measures (spasmolytics, tranquilizers, vitamins, acupuncture reflex therapy and psychotherapy according to a suggested scheme), a course of pneumocardiodilatation (no more than 5 sessions) is included in the management of secondary esophageal spasm+. Such treatment produced good and satisfactory results in 100% of patients with primary and in 72% of patients with secondary esophagitis. The management of secondary esophagitis is a more difficult problem which calls for further study.

Adult↗
PubMed1990

[Principles of creating esophageal anastomoses].

The techniques of formation of esophageal anastomoses are discussed on the basis of experience with 317 operations. The authors believe the following moments to be most important in the creation of communications with the esophagus: the use of a laser scalpel and monophilic atraumatic suture material, accurate apposition of the identical coats of the anastomosed organs by means of sutures placed at some distance from one another and tied not too tightly, creation of an antireflux mechanism in formation of the anastomosis, adequate drainage of the zone of the anastomosis with compulsory isolation of the wound on the neck from the mediastinum by circular stitching of the graft to the surrounding tissues, provision of adequate blood supply to the esophageal stump, correction of tension exerted on the sutures of the anastomosis by means of adequate intraluminal decompression.

Adult↗
PubMed1989

[Combined surgical treatment of duodenal ulcer and reflux esophagitis].

Under study were results of the associated surgical treatment of 349 patients with ulcer disease of the duodenum and reflux-esophagitis. The optimum operation procedure for this pathology at the present time is selective proximal vagotomy with fundoplication, while for stenosing reflux-esophagitis the preoperative bougienage of the esophagus should be used. If the bougienage is impossible, resection of the altered portion of the esophagus is necessary. In most patients such tactics gave good and excellent nearest and remote results.

Adult↗
PubMedDate not supplied

[Diagnosis and treatment of peptic strictures of the esophagus].

In the period between 1963 and 1986 there were 189 patients with peptic stricture of the esophagus under observation. The peptic stricture was primary in 149 and secondary in 40 patients. Complex diagnosis of the disease allowed an adequate therapeutic tactics to be chosen. The management of peptic strictures should be started in all cases with nonoperative measures including bougienage. Such treatment produced a stable effect in 47% of cases. Various operative interventions were carried out in 53% of patients. Fundoplication in combination with selective proximal vagotomy was the most sparing and effective operation in primary peptic stricture; a secondary stricture had to be treated most frequently by resection of the esophagus, which was completed by valvular esophagogastroanastomosis. The late results proved best in primary peptic stricture.

Adolescent↗