[A polarographic method for the diagnosis of nodular formations in the thyroid].
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Biomedical subjects
Publications and source records attributed to S B Pinskiĭ.
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A new method of determination of safety of antral branches of the vagus nerves during selective proximal vagotomy based on the potentiometric measurement of the oxidation-reduction potential from the side of the serous membrane on the anterior and posterior walls of the antral portion of the stomach was developed in experiments and approved in the clinic. Results of using the method during operation as well as findings of complex investigation of the motor-evacuatory function of the stomach in the nearest and remote terms after vagotomy show efficiency of the method. The method may be recommended for the surgical practice.
Rare causes of acute esophagogastroduodenal hemorrhages were identified in 61 (4%) of 1,532 patients. Their number has increased 2.5-fold in the recent years due to the wide use of emergency endoscopy. Neoplastic diseases were encountered in 32, nonneoplastic diseases--in 29 patients. The source of the bleeding was in the esophagus in half of the cases, and emergency endoscopy was decisive in its identification. The greatest difficulties arise in the diagnosis of extragastric carcinoma complicated by bleeding. Active therapeutic tactics is advisable in nonepithelial tumors of the stomach complicated by hemorrhage, nonoperative treatment--in nonneoplastic diseases. Arrest of hemorrhage during endoscopy, by means of the polymer hemostatic ferracryl among other methods, increases the effect of nonoperative therapy. A fatal outcome occurred in 12 cases, 10 of them were with carcinoma of extragastric localization.
The authors in the experiment on 24 rabbits have developed a method for determination of the completeness of vagotomy at operation based on the potentiometric measurement of total redox potential of the serosa of the anterior and posterior walls of the body, fundus and cardia. A method was used in 40 patients with perforative duodenal ulcer. The suggested method has the advantages over the existing ones, and can be used in the surgical practice.
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The 18-years experience of the clinic is presented with diagnosis and curative tactics for the Mallory-Weiss syndrome which was observed in 65 (4.7%) of 1392 patients with acute gastroduodenal hemorrhages. Urgent esophagogastroduodenoscopy has improved diagnostics during the recent 5 years which resulted in 10% increased diagnosing of the Mallory-Weiss syndrome in gastroduodenal hemorrhage from the total amount of such patients. Before introducing of endoscopic hemostasis with Ferakryl into clinic 4 of 24 patients were operated on and 20 patients were treated by conservative hemostatic methods. Four patients died: 2 after operations and 2 after the conservative treatment. Complex conservative treatment with curative endoscopy and Ferakryl used in the clinic during the recent 2.5 years resulted in stable hemostasis in all the 41 patients without lethal outcomes.
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