[Informative value of the parameter "effective concentration of albumin" in diffuse peritonitis: data from a multi-center study]. / Informativnost' pokazatelia "éffektivnaia kontsentratsiia al'bumina" pri rasprostranennom peritonite: dannye mnogotsentrovogo issledovaniia.

The paper represents data on new potentialities in evaluating a severity of patients with total peritonitis (TP). They are based on the fluorescence analysis of the physical-and-chemical properties of blood albumin. The findings are a result of a multi-center research undertaken by clinics of Moscow and Moscow Region. The properties of albumin-molecule binding sites were investigated by the fluorescence test. The parameter, measured in the test, was named "effective albumin concentration". The study protocol comprised the data of clinical examinations, scales SAPS and MPI as well as laboratory findings and EAC. The subsequent analysis denoted that a combination of 2 parameters, i.e. EAC and serum urea concentration routinely measured, is highly informative in evaluating the TP severity and correlates well with the survival rate in the discussed pathology. The study results could be a basis for an early individual prognostication of TP course made on the 1st postoperative day.

[Surgical treatment of duodenal ulcer in elderly and aged patients]. / Khirurgicheskoe lechenie iazvennoi bolezni dvenadtsatiperstnoi kishki u lits pozhilogo i starcheskogo vozrasta.

Choice of treatment of duodenal ulcer in elderly and aged patients is discussed. Literature demonstrate high risk of recurrences even in adequate systemic drug treatment. In patients of this age group early organo-saving operations must be performed before development of complications. Results of selective proximal vagotomy in 62 patients aged from 60 to 82 years confirm efficacy and minimal risk of this surgery.