[Endovascular intrahepatic portacaval shunting]. / Endovaskuliarnoe vnutripechenochnoe portokaval'noe shuntirovanie.

Pilot experience in Russia of transjugular intrahepatic portosystemic shunting is presented. Results of endovascular shunting in 14 patients with cirrhosis of the liver were analyzed. Four patients underwent emergency endovascular shunting when conservative treatment was not effective. Ten patients underwent elective surgery. Repeated esophagealgastric bleedings were indications for shunting. Relapse of bleeding was seen in 1 patient 5 days after surgery. Regular dopplerography permitted to reveal timely stenotic process. When stenosis of portosystemic shunt was diagnosed, ambulatory balloon dilatation of anastomosis through transjugular approach was performed. It was enough for opening of anastomosis lumen and decrease of pressure gradient.

[Autonomic cardiac neuropathy in patients with insulin-deficient diabetes mellitus]. / Avtonomnaia serdechnaia neiropatiia u bol'nykh insulinodefitsitnym diabetom.

Altogether 60 patients with insulin-deficient diabetes aged 16-40 with a disease standing of 11.2 +/- 0,93 years were examined. Diabetic autonomous cardiac neuropathy was detected in 73% of the patients by means of a study of the R-R interval variation in normal and deep breathing and Valsalva's index. Direct correlation of the time-length of diabetes with retinopathy and distal polyneuropathy was found. Orthostatic hypotension was diagnosed in 10% of the patients.