[Aneurysm of the gastroduodenal artery in a female patient with the postcholecystectomy syndrome (a clinical case report)]. / Anevrizma gastroduodenal'noi arterii u patsientki s postkholetsistéktomicheskim sindromom.

Aneurysms of visceral arteries appear to belong to rare and potentially lethal vascular diseases. The most important role in the aetiology of aneurysms of the gastroduodenal artery is plaid by either acute or chronic pancreatitis. The article deals with a clinical case report concerning a saccular partially thrombosed aneurysm having developed in a 77-year-old woman presenting with the postcholecystectomic syndrome and detected on ultrasonographic examination of the abdominal-cavity vessels. Timely radiodiagnosis (SCT angiography of abdominal cavity vessels), adequate and timely performed endovascular occlusion of the cavity of the aneurysm with metal spirals performed in a timely manner made it possible to attain a favourable outcome. Little is known regarding the understanding of the aetiology and lack of full clarity in therapeutic approaches to aneurysms of visceral arteries predetermine the necessity to continue collecting clinical case reports concerning this rarely encountered vascular pathology in order to generalize and work out an appropriate therapeutic-and-diagnostic algorithm.

[Clinical and morphological substantiation of SMC-peloidotherapy for the management of duodenal pathology].

This study included 112 patients presenting with duodenal ulcer disease and 65 ones with chronic duodenitis treated with the use of sinusoidal modulated current (SMC) electrophoresis in combination with peloidotherapy (peat muds of the Uva health resort, Republic of Udmurtia). This treatment was shown to produce positive effect on the proliferative activity of duodenal epithelium.

[Efficacy of SMC-electrophoresis of peat mud in primary chronic duodenitis].

Sinusoidal modulated current (SMC) electrophoresis of peat mud was used as monotherapy of primary chronic duodenitis in Uva sanatorium. A total of 65 patients with primary chronic duodenitis received SMC electrophoresis of peat mud diluted with distilled water. The effect was followed up with fibrogastroduodenoscopy and target biopsy of duodenal mucosa with further study of its morphological structure and element composition, acid-producing function of the stomach, hormonal profile, collagen metabolism. Positive changes were observed in clinical-endoscopic and morphological picture of the disease which is explained by favourable shifts in hormonal status and normalization of collagen metabolism in duodenal mucosa.

[Principles of differential diagnosis and strategy in acute intestinal obstruction]. / Printsipy differentsial'noi diagnostiki i taktiki pri ostroi kishechnoi neprokhodimosti.

Intestinal obstruction is diagnosed as one of two kinds--small intestine and large intestine obstruction. They differ in etiology of the obstacle, pathogenesis and degree of clinical picture. The cause of the small intestine obstruction in patients having laparotomy in medical history is the formation of commissures. In patients with intact abdomen the cause of low obstruction was torsion and intussusception, the cause of high obstruction was the obturation with a bile calculus and a foreign body. Causes of the large intestine obstruction were obturation with a tumor and torsion. Napalkov's test is expedient but when suspecting the small intestine obstruction. Conservative treatment is possible in commissural small intestine obstruction (12-24 h) and in large intestine obturation obstruction (not longer than 2h).

[Dynamics of the morphofunctional status of digestive organs in patients with chronic gastroduodenitis during monotherapy with sulfate sodium-calcium mineral water]. / Dinamika morfofunktsional'nogo sostoianiia organov pishchevareniia u bol'nykh khronicheskim gastroduodenitom pri monoterapii sul'fatnoi natrievo-kal'tsievoi mineral'noi vodoi.

The authors describe morphofunctional changes in gastroduodenal tract in patients with chronic gastroduodenitis. Some of them have previously undergone laparoscopic cholecystectomy for cholelithiasis. Balneotherapy with mineral water "Uvinskaya" has a good effect in the above disease and therefore is recommended for prevention and treatment of patients with chronic gastroduodenitis as well as for prevention of repeated cholelithiasis after cholecystectomy.

[The treatment of patients with chronic cholecystitis and hypomotor biliary dyskinesia at a sanatorium]. / Lechenie bol'nykh khronicheskim kholetsistitom s gipomotornoi diskineziei zhelchevyvodiashchikh putei v sanatorii.

Efficacy of spa treatment with moderately mineralized mineral water from the spring utilized by balneological sanatorium Uva in the Republic of Udmurtia was studied in 524 patients with chronic atrophic gastritis concomitant with chronic cholecystitis and hypokinesia of the biliary ducts. Drinking water proved beneficial for hepatobiliary tract, clinical symptoms regressed, the ability of the gallbladder to concentrate and expel bile improved.

[Hormonal homeostasis (somatotropin, thyrotropin, triiodothyronine and cortisol) and the histomorphologic indicators of the gastric mucosa during treatment with preparations enhancing protein synthesis (alvesin-new and retabolyl)]. / Dinamika gormonal'nogo gomeostaza (somatotropnyi i tireotropnyi gormony, triiodtironin, kortizol) i gistomorfologicheskikh pokazatelei slizistoi zheludka v protsesse lecheniia preparatami belkovosinteticheskogo usileniia (al'vezin-novyi & retabolil).

The paper is devoted to a study of hormonal homeostasis and indices of histomorphological and endoscopic examination of the gastric mucosa in 96 patients with stomach ulcer with ulcerative defect of different site using the combination of an anabolic steroid nandrolene and alvezine-new. The incorporation of anabolic steroids and alvezine in multiple modality therapy was accompanied by a rise of epithelial mitotic activity, faster disappearance of inflammatory and dystrophic processes in the gastric mucosa and improved differentiation of cells of the main glands. A positive time course of histochemical indices was accompanied by favorable shifts in clinical signs of disease and hormonal homeostasis.