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Biomedical subjects

V M Sitenko

Publications and source records attributed to V M Sitenko.

At least 37 records · Page 2Linked to original sources

[Surgical tactics in peptic ulcer devleoped after gastrectomy].

The authors analyse the materials pertaining to 96 patients with peptic ulcers arising after gastric resection. Eighty seven of them were subjected to 94 surgical interventions. Attention is called to different causes of the ulcer occurrence and possibilities of their recognition. Depending on the cause of ulcer various operations were undertaken i.e. reresection of the stomach, vagotomy, removal of the remained protion of antral duodenal mucosa, total resection of the gastric stump. Indications to each kind of surgery under consideration are discussed.

Duodenum

[Large stump of the cystic duct].

The authors concluded that a large stump of the gall-bladder duct is of no independent importance as a cause of the affection. However, concretions may be formed in the stump, that was evident in three cases, therefore, the gall duct stump should be no more than 0.5 cm.

Cholecystectomy

[Surgical treatment of peptic ulcer after gastroenterostomy].

Based on a comparison of the immediate and late results of treatment in patients with peptic ulcers following gastroenterostomy by means of gastric resection (24 patients) and by vagotomy, it is concluded that vagotomy in most cases results in a complete cure of patients, thus this procedure is felt to be more advantageous than gastric resection due to its technical feasibility and small operative risk.

Follow-Up Studies

[External drainage and suture of the bile ducts following choledochotomy].

The authors report their experience with the use of a T-shape drainage in 258 choledochotomies, accomplished in 248 patients, and suturing of the common bile duct in 77 patients. The technic of preparation of a T-shape drainage, its fixation in the common bile duct and the postoperative management of patients with such drainages are described. The complications developed while using a T-shape drainage are analysed. Late sequelae of application of the drainage were taken into account after 219 operations, whereas in 163 patients intravenous cholangiography was performed after such drainage of bile ducts, the terms being longer than 3 years in 140 cases.

Bile