[Surgical treatment of stage IV cardial achalasia].

An original method of surgical treatment of patients with stage IV cardial achalasia was developed. Seven patients aged 42 to 59 years underwent surgery according this method. Objective methods of examination and life quality study with GIQLI carried out 3 months to 5 years after surgery demonstrate satisfactory anatomic and functional results.

[Restoration of nutritional status in patients with complicated course of ulcer during preoperative period]. / Vosstanovlenie pitatel'nogo statusa u patsientov s oslozhnennym techeniem iazvennoi bolezni v predoperatsionnom periode.

The comparative analysis of the efficiency of the enteral tube feeding and parenteral feeding in 52 patients with the subcompensated stenosis of the pylorus was carried out. Satisfactory results were received in all groups of patients taking enteral and parenteral feeding. Consequently, the differences in the parameters of the catabolic index and general protein in the patients taking balanced food mixes rich in calories and 'usual feeding' were statistically significant. Complications caused by enteral tube feeding were observed in 23.3%. None of the patients having such complications required food suspension. The frequency and significance of such complications were higher (54.5%) in the group of the patients taking parenteral feeding. This study has shown that the enteral tube feeding is just as efficient as the parenteral feeding. Besides, the enteral tube feeding is characterized by less significant side effects and is more cost-efficient.

[Enteral tube feeding at the early postoperative period (stomach surgery)]. / Enteral'noe (zondovoe) pinanie v rannie sroki poslle operatsii na zheludke.

The article describes a comparative analysis of the efficacy of various variants of nutritive support in 115 patients with complicated gastroduodenal ulcers at the early postoperative period. 95 patients received enteral tube feeding, 50 of them receiving balanced isocaloric formulas and 45 of them receiving broths and decoctions as a nutritious substrate. The control group comprised 20 patients who received full parenteral feeding. The results were assessed on Day 5 after the beginning of feeding. Satisfactory results were received in all of the groups. The main advantages of balanced formulas are their easy dosage, smaller number of complications and lower price (as compared to parenteral feeding) as well as better (as compared to "ordinary" products) indexes of the nutritious status recovery.