Primary lymphangiectasia of the gastrointestinal tract.

Intestinal lymphangiectasia is a very rare pathology, characterized by the presence of enlarged lymphatic vessels in all layers of the intestinal wall and in the mesentery. As a result, "lymphatic lakes" are formed, through which lymph exudates into the lumen of the intestine. The main manifestation is hypoproteinemic edema. Diagnosis of the disease is based on laboratory-instrumental methods of investigation, including by determining in the stool α-1 antitrypsin as a screening test. Treatment includes: a diet rich in calcium, trace elements, be sure to use medicinal foods enriched with medium chain triglycerides, substitution and symptomatic therapy.

[Zivert-Kartagener's syndrome encountered in the practical work of an otorhionolaryngologist, pulmonologist, obstetrician, and gynecologist]. / Sindrom Ziverta­Kartagenera v praktike LOR-vracha, pul'monologa i akushera-ginekologa.

The objective of the present work was to analyze the current concept of the genetically predetermined condition Zivert-Kartagener's syndrome with special reference to the pathogenetic mechanisms underlying the development of this condition, its clinical picture and methods of treatment. The authors' original observations of the patients presenting with Zivert-Kartagener's syndrome are reported.

[Mucoviscidosis, a challenging medical problem]. / Mukovistsidoz ­ aktual'naya problema meditsiny.

The authors present the currently available data on mucoviscidosis (cystic fibrosis) based on their original experience and the review of the relevant literature. Special attention is given to the pathogenetic mechanisms underlying the development of this condition, its diagnostics, and methods of treatment as exemplified by the clinical case of cystic fibrosis in an adult patient.

[Dynamics content of nitric oxide in gastric juice before and after treatment helicobacter associated gastroduodenal diseases].

UNLABELLED: The aim of the study was to examine dynamics of the content of nitric oxide (NO) in gastric juice in Helicobacter-associated gastroduodenal diseases. MATERIALS AND METHODS: 105 patients were examined: 56 - with chronic non-atrophic (antral) gastritis (CNG) and 49 - duodenal ulcer (DU). 25 healthy individuals were studied as control. RESULTS: It was found that NO concentration increases in gastric juice at the exacerbation of CNG and DU. Moreover, in patients with CNG with the elimination of Helicobacter pylori and inflammatory activity in the gastric mucosa, NO levels decrease to control values, and in DU patients in remission phase the level of it is markedly reducing, but remains higher than normal. The NO content changes, depending not only on a phase, but also character of a course of a disease, are observed at patients with Duodenal ulcer. At recurrent course UD index of NO in the gastric juice was significantly higher than in newly diagnosed destructive process in the mucosa. CONCLUSION: The carried out research show that H. pylori infection stimulates the metabolism of NO in the gastric CO. The Increase in the levels of NO can be regarded as a protective reaction in response to the persistence of HP.