[Reflections on the first experience with computer facilities used in training surgeons].
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Biomedical subjects
Publications and source records attributed to V A Stupin.
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Complex study of the frequency and intensity of the duodenogastric reflux in 468 patients with peptic ulcer is analysed; 372 had duodenal ulcer and 96 had gastric ulcer. The authors give the characteristics of the diagnostic possibilities of X-ray, endoscopic, ionomanometric, and aspiration (radionuclide and biochemical) methods of examination of duodenal regurgitation. They proved the relation of the frequency and intensity of the duodenal regurgitation to the type of the ulcer and the phase of its course (exacerbation or remission), the condition of the pyloric closure function, and disorders of duodenal motor activity. The sequelae of long-term duodenogastric reflux are analysed; it is shown that patients must be examined in the preoperative period in the phase of remission so as to gain the true values of intensity of the reflux for its subsequent correction.
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Among 190 patients suffering from chronic duodenal obstruction (CDO) the authors identified 66 patients whose somatic disturbances were manifestations of mental disease, usually depression. They formed a section "primary functional forms of CDO" in the classification scheme. Additionally some of these cases were complicated by nonspecific lymphadenitis and entered a group of mechanical forms of CDO. The use of psychotropic drugs in both cases considerably improved the prognosis of the disease. Sensthopathic feelings in the abdomen in such cases were attributable to vegetative motor disorders of the upper portions of the gastrointestinal tract ascertained by instrumental examination.
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