[Gastrectomy with the formation of the pyloric canal].
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Biomedical subjects
Publications and source records attributed to V N Repin.
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The authors operated on 138 patients with impaired duodenal patency after gastric resection and selective proximal vagotomy. The most substantiated operation is the Roux-en-Y reconstruction. In possible elimination of mechanical obstacles and normal tonicity of the duodenum, the passage through it was restored by means of isoperistaltic jejunal segment. Good long-term results were noted in 83.2%, satisfactory--in 13.6%, bad (ulcer recurrence)--in 3.2% of the patients.
Results of the treatment of 100 patients with bony, bony-articular panaritium, thecal whitlow and pandactylitis are described. Expediency of the complex treatment including surgery, regional administration of antibiotics and immunotherapy is shown.
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Unusually high activities of the "antioxidative" enzymes (superoxide dismutase, glutathione peroxidase) have been found in the cells isolated from the intima and media of normal human aorta. The activities of "antioxidative" enzymes of the intima and media of the human aorta in different types of atherosclerotic lesions (lipid spots, fibrous plaques) have been demonstrated to be greatly lowered.
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On the basis of clinical experiences with the surgical treatment of 145 patients the authors recommend using active immunization with staphylococcal anatoxin after operation. It is found to shorten the time of treatment.
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The motor-evacuation disorders in the duodenum after resection of the stomach represent one of the main causes of unsatisfactory results of the operation. These disorders have distinct clinical manifestations and all of them result from stasis of the duodenum content. The main cause of duodenostasis is a mechanical obstacle. Reconstructive operations undertaken to restore the duodenal passage and to liquidate all mechanical obstacles give good results.
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A linkage study of gastric secretion in complicated peptic ulcer in 445 patients, 192 radiotelemetric studies included, was carried out. Histological and histomorphometrical investigations of the stomach mucous membrane were carried out in 179 patients. Gastric resection was performed upon 306 patients: in 228 out of them the resection involved half of the stomach and was supplemented with selective vagotomy in case of hyperacidic secretion and unchanged mucous membrane. Good functional results were obtained in 94.4% out of 156 patients examined in late periods of the follow-up. There were no cases of the recurrence of ulcer.
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