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Biomedical subjects

V A Shuliarenko

Publications and source records attributed to V A Shuliarenko.

At least 19 recordsLinked to original sources
PubMed1997

[Treatment of acute ulcerous gastroduodenal hemorrhage].

Basic principles of infusion-transfusional therapy, methods of endoscopic hemostasis as well as indications for surgical treatment of acute hemorrhagic ulcers of the stomach and the duodenum are presented. If is stated that valid use of endoscopic methods of hemostasis provides possibility for temporal hemostasis in 70% of patients. It endoscopic hemostasis is ineffective in hemorrhage from ulcer or in recurrent hemorrhage it is recommended to perform urgent surgical interventions. To avoid the relapse of hemorrhage after endoscopic hemostasis from ulcer or revealing endoscopic symptoms of unreliable (unstable) hemostasis it is necessary to perform delayed operations (not later that 2 days from the moment of admission of the patients). If the hemostasis shows to be stable which is proved by endoscopy, early elective operations (in 12-14 days) are indicated.

Acute Disease↗
PubMed1994

[Reoperations after closure of perforative gastroduodenal ulcer].

Results of surgical treatment of 271 patients with malady recurrence after perforative gastroduodenal ulcer closure were adduced. Resectional methods of treatment were conducted in 118 patients, vagotomy combined with the stomach draining procedure--in 106, in combination with ulcer extraduodenization and duodenoplasty--in 47. Conduction of organpreserving operation with ulcer extraduodenization and duodenoplasty must be supposed mostly rational.

Adult↗
PubMed1992

[Early diagnosis and treatment of a pyloroduodenal ulcer complicated by stenosis of gastric outlet].

Treated were 193 patients with pyloroduodenal ulcer complicated by stenosis of gastric outlet. Compensated stenosis was noted in 14 (7.2%) patients, subcompensated--in 147 (76.2%), decompensated--in 30 (15.5%), gastric tetany--in 2 (1.04%). Studied were the immunologic indices, peripheric blood flow by means of a roentgenologic method under conditions of double contrasting and artificial hypotony, gastric and duodenal function, bioelectric activity--by the method of duodenokinesiography. Gastric resection was performed in 87 patients, vagotomy with drainage operation and without it--in 82, gastroenterostomy--in 14, antrum resection with vagotomy--in 12, Roux resection of the stomach--in 2. The postoperative lethality was 1%. Good and excellent results after gastric resection were noted in 82.1%, after vagotomy--in 88.4% of the patients.

Adult↗
PubMed1992

[The surgical treatment of malignant stomach ulcers].

The authors analyse the specific features of the clinical picture, diagnosis, pathomorphological changes and surgical treatment in 52 patients with gastric ulcer which underwent malignant degeneration. It is noted that malignancy occurs most frequently in close vicinity to the ulcerative defect and rarely in the mucosa beyond the ulcer. The morphostructural reorganizations are determined to a certain degree by the peculiarities of extension of the tumor along the mucosa and the organ as a whole. The authors discuss the principles of the choice of the method for treatment according to the findings of pathomorphological examination of biopsy material and the results of emergency intraoperative examination. Even if the merest suspicion of malignancy of the ulcer arises, the operation should be conducted with observance of all oncological principles. Postoperative mortality was 3.8%, complications occurred in 7.7% of cases. Five-year survival was 84.6% in the absence of metastases and the presence of carcinoma cells within the limits of the mucosa and 12.5% among cases in which metastases were found during the operation. Attention is drawn to the principles of regular medical surveillance over patients receiving nonoperative treatment for gastric ulcer.

Adult↗
PubMed1991

[Some problems of the surgical treatment of stomach and duodenal ulcer].

The analysis of the results of surgical treatment of the gastric and duodenal ulcer disease in 191 patient under conditions of surgical department of the central district hospital was carried out. It was established that performance of the organ-preserving operation with vagotomy in duodenal ulcer disease permitted to reduce the mean duration of postoperative treatment and temporary invalidity, reduce the lethality. In gastric ulcer, the best result was obtained when using Billroth-I and stepped resection of the stomach.

Adult↗
PubMed1990

[Indications for relaparotomy].

From 1980 to 1987, 10,446 patients were operated on. In 152 patients, the necessity of a repeated operative intervention arose. In 106 patients the emergency, in 42--delayed, and in 4--elective relaparotomies were performed. There were the following indications for relaparotomy: diffuse and circumscribed peritonitis (78 patients), ileus (46), eventration (11), hemorrhage (12), others (5). Diagnosis of postoperative complications requiring relaparotomy is difficult. The postoperative lethality was 26%.

Abdomen, Acute↗
PubMed1989

[Immunologic reactivity in patients with gastroduodenal ulcers].

Immune system factors were studied in 158 patients with ulcer disease of the stomach and duodenum before and after different operative procedures. More pronounced alterations of immune reactivity as compared with the parameters in patients with noncomplicated ulcer disease were found which manifested themselves in decreased indices of cell immunity, activation of processes of autoallergization, inhibition of nonspecific factors of defense.

Adolescent↗
PubMed1989

[Late results of the conservative treatment of patients with cholecystitis].

It is shown that conservative treatment of cholelithiasis in young patients is not effective. In the long-term period these patients show as a rule recurrences, the frequency and degree of functional disorders of the liver and pancreas rises, the number of complications increases. The authors recommend early surgical treatment of this contingent of patients.

Adult↗
PubMed1989

[Acute appendicitis in patients with diabetes mellitus].

The peculiarities of clinical picture, preoperative preparation and postoperative course in 157 patients with acute appendicitis, who suffered from diabetes mellitus, are shown. The direct dependence of pathomorphologic changes in the vermiform process on the severity degree and the state of diabetes compensation is noted. For correction of carbohydrate metabolism in the patients' contingent considered, it is the most expedient to use the fractional injection of common (crystalline) insulin at low doses.

Acute Disease↗
PubMed1989

[Late results of the surgical treatment of chronic calculous cholecystitis in young patients].

Long-term results of surgical treatment of chronic calculous cholecystitis were investigated in 139 patients of young age. Good results were observed in 83.5% of cases, satisfactory--in 11.5% of cases and failures--in 5% of cases. The authors present an analysis of the dependence of long-term results of surgical treatment of cholelithiasis in the young on the duration of the diseases before the surgical intervention, clinicomorphological form of cholecystitis, the degree of extension of the pathological process in the bile ducts and neighbouring organs volume of the operation and its character.

Adult↗