To accelerate the self-healing of an intestinal fistula the author developed 2 variants of enterostomy based on the principle of valvular closure of the serous canal after the removal of the tube. The serous canal around the tube forms from the lateral walls of both bends of intestinal loop a fold in the shape of an angle. In the first variant the tube enters the intestinal lumen along the intestinal loop curvature line; in the second - through the lateral wall of one of the intestinal loop bends. The angular jejunostomy was applied as feeding fistula in 49 cases. The angular ileostomy was carried out on 24 cases to obtain the decompression of the small intestine. There were no cases of complications or fatal outcome resulting from the application of the angular enterostomy method.

Humans↗

PubMed1970

[Method of forming an esophageal-intestinal anastomosis in gastrectomy].

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Animals↗

PubMedDate not supplied

[Morphofunctional characteristics of arterial bed in exacerbation of gastroduodenal ulcer disease and chronic pancreatitis].

Samples of the stomach, duodenum and pancreas removed from 76 patients obtained during organ-preserving operations for ulcer and chronic pancreatitis were examined morphologically. It is found that the most frequent type of changes in the intraorgan arteries is their wall hypertrophy in combination with hyperelastosis and elastotic fibrosis. This characterizes chronic local arterial hypertension. An additional morphological symptom complex caused by a vegetative vascular crisis is formed in the arteries of the damaged organ in exacerbation of the disease. The complex includes prominent dystonic and alterative changes of small arteries leading to stasis and thrombogenesis in the microvessels. Unknown so far phenomenon of arterial invagination in 18 patients was observed. It leads to a complete block of circulation, acute ischemia followed by tissue necrosis which was most typical for ulcer exacerbation and chronic pancreatitis.

Arteries↗

PubMedDate not supplied

[Omegametry for the rapid assessment of the patient's condition in peritonitis].

Omegametry was performed to 114 patients with peritonitis at various phases of the disease. Six types of omegagrams have been obtained. Reactive phase of peritonitis was characterized by monophase changes in omega-potential after a functional load with positive or negative monophase waves and an omegagram in the form of a straight line with baseline values of omega-potential 24 to 40 mV. In toxic phase of peritonitis monophase changes in omega-potential were observed after the functional load with a positive or negative incomplete phase. Omegagrams in the form of a straight line with baseline values of omega-potential 2 to 15 mV or chaotic changing curve were revealed in terminal stage of peritonitis. The data obtained make it possible to diagnose peritonitis phase, optimize intensive care and predict the outcome of the disease.

Adolescent↗