PubMed Health⌕ Search

Biomedical subjects

V A Kubyshkin

Publications and source records attributed to V A Kubyshkin.

At least 55 records · Page 3Linked to original sources
PubMed1997

[Surgical treatment of postbulbar duodenal ulcers].

The results of the surgery in 121 patients with post-bulbar duodenal peptic ulcers (8.5% of all cases of duodenal ulcer) are analysed. In 72.7% the ulcer was complicated with the duodenal stenosis, in 41.3%--with the penetration, in 5.8%--choledochoduodenal fistulas. In 41.3% of the patients the course of ulcer was complicated with bleeding and in 8.3% with perforation. In 18 (14.9%) patients gastric resection was performed with total removal of the ulcer (8) or its remaining pait (10). There were no cases of mortality. In 5 cases there was postoperative pancreonecrosis. Long-term follow up results were evaluated with the use of the Visick' method. Satisfactory results were achieved in 12 patients, unsatisfactory results--in 2 patients. There were no cases of excellent and good results. Selective proximal vagotomy (SPV) was performed in 34 patients, SPV and draining operation--in 28 patients, SPV and duodenoplasty-in 41 patients. There were no mortality and serious complications. Better results were achieved with the use of SPV and duodenoplasty.

Duodenal Ulcer↗
PubMed1995

[Results of organ-preserving operations in gastric ulcer].

The authors analysed the immediate and late results of selective proximal or truncal vagotomy with excision of the ulcer from the gastric lumen or wedge resection of the stomach in patients with various localization of the gastric ulcers. The best results were produced (Visick I-II) in patients after selective proximal vagotomy with excision of the ulcer from the gastric lumen (in 93%), the results were poorer in selective proximal vagotomy with wedge resection of the stomach and in truncal vagotomy with excision of the ulcer or wedge resection of the stomach (only in 20%, 38%, and 30% of patients, respectively). The results were unsatisfactory (Visick IV) mainly after vagotomy with wedge resection of the stomach due to recurrences and postvagotomy functional disorders. The authors claim only limited use of organ-preserving operations to be admissible.

Adult↗
PubMed1993

[Pancreonecrosis. Current views and perspectives].

Generalization of data gained from the case records of patients with pancreonecrosis treated at 14 hospitals of Moscow allowed the authors to mark out typical errors in the diagnosis and therapeutic tactics which caused, to a considerable measure, mortality in 58.1 cases. From their personal experience in the treatment of such patients the authors believe it possible to improve essentially the diagnosis of acute pancreatitis by wide use of laparoscopy, ultrasonic scanning, and angiography of the pancreas for early verification of pancreonecrosis, appraisal of the condition of the extrahepatic bile ducts, and application of mildly injurious methods of treatment. Setting apart only two forms of acute pancreatitis is substantiated from the clinico-anatomical standpoint. The choice of the therapeutic tactics in pancreonecrosis should be based on the severity of the disease and the dynamics of its development during intensive therapy, rather than on the morphological diagnosis. Using the criteria of evaluation of the severity of pancreonecrosis, the authors reduced considerably the frequency of operative interventions in the early stages of the disease. Among the methods of operative treatment of pancreonecrosis, distant pancreatectomy or programmed repeated necroso-sequestrectomies are preferred.

Diagnostic Errors↗
PubMed1989

[Hepatic insufficiency in pancreonecrosis].

The examination of 225 patients has shown that the syndrome of hepatic insufficiency associated mainly with hyperperfusion of the liver is developing in pancreonecrosis. The regional infusion therapy is recommended for prophylactics and treatment of hepatic insufficiency.

Humans↗