[Mallory-Weiss syndrome in children]. / Sindrom Mallori-Veissa u detei.

The article analyzes an experience with treatment of 18 children with the Mallory-Weiss syndrome. Six children were operated upon, one of them died. Questions of pathogenesis of this syndrome in children practice are considered on the basis of anatomo-physiological properties of the child's organism. Attention was paid to the diagnostic and medical role of endoscopy. The tactics of treatment of this disease is recommended based on reference of the blood loss degree and findings of the endoscopic examination.

[Chronic acalculous cholecystitis in children]. / Khronicheskii beskamennyi kholetsistit u detei.

Based upon literature data and an analysis of immediate and remote results of treatment of 50 children with acalculous cholecystitis the authors point to the advisability of operative interventions in patients with organic disturbances of the bile outflow. An analysis of the clinical picture, effects of the conservative therapy and results of subsidiary investigations enabled the authors to establish indications to surgery. The surgical methods must be determined by the character of pathology of the gallbladder, bile ducts and concomitant diseases. The immediate and long-term results of the surgical treatment of chronic cholecystitis resulting from organic disturbances of bile excretion confirm expediency of active surgical tactics in the presence of indications and of strict dispensary observation after operations for this disease.

[Surgical treatment of developmental defects of the biliary tract in children]. / Khirurgicheskoe lechenie porokov razvitiia zhelchevyvodiashchikh putei u detei.

Analysis of the surgical treatment of 212 children is given. The patients were divided into 3 groups: 158 children with atresia of bile ducts, 29 children with abnormality of the cervix-duct segment of the gall bladder and 25 children with cystic transformation of the choledochus. Indications for the operation were as follows: stable mechanical jaundice, recurrent pain syndrome in deformity of the gall bladder and alternating jaundice with a formation present in the subhepatic space. The successful treatment was found to depend on early detection of the defect and rational choice of the operation method.

[Congenital cystic transformation of the common bile duct in children]. / Vrozhdennaia kistoznaia transformatsiia obshchego zhelchnogo protoka u detei.

By now the world literature counts 955 observations on congenital cystic enlargement of the common bile duct. The authors add 14 own observations of this rather rare pathology. Preoperative diagnosis is still difficult. The intravenous cholegraphy remains the best diagnostic procedure. The choledochocystoduodenostomy is justified by its usefulness and is the most frequently used. The late results of the treatment are good. An unfavourable prognosis is present only in cases with preoperative chronic hepatitis, cholangitis or pancreatitis, as these diseases are likely to aggravate later on.

[Subcutaneous injuries of the duodenum in children]. / Podkozhnye povrezhdeniia dvenadtsatiperstnoi kishki u detei

In Child Surgery clinics of the Leningrad City since 1955 to 1974 eight children, aged from 3 to 15 years, were operated upon for this kind of trauma. The diagnosis of duodenal injuries intraoperatively is based on the presence of retroperitoneal hematoma, emphysema in the retroperitoneal space, yellow-green staining of the posterior peritoneal leaf.