[Postoperative pyoinflammatory complications in patients with colostomy for large intestinal obstruction caused by colonic neoplasms].

Premises of the pyoinflammatory complications of colostomy in patients with tumorous obstructive ileus were analyzed. These were: age >60 years, concomitant diseases, extent of anemia, duration of the operative treatment more then 2,5-3 hours, mass of subcutaneous fat tissue and time before stoma opening. Highlighting of risk factors allowed prediction of inflammatory postoperative complications and take steps of its prophylaxis.

[Bacterial translocation under the conditions of acute bowel obstruction].

The article is dedicated to bacterial translocation under the conditions of acute small and large bowel obstruction, studied in experiment using bacteriological methods. The degree of contamination of internal organs, blood, and peritoneal exudate in the dynamics of the pathological process was determined. The study found that the use of allopurinol, a xanthine oxidase inhibitor, reduced the intensity of bacterial translocation.

[Iliac mucosa changes in late periods after total colectomy in patients with syndromes of gastro-intestinal polyposis]. / Izmeneniia slizistoi obolochki nizvedennogo segmenta podvzdoshnoi kishki v otdalennye sroki posle operatsii total'noi koléktomii u bol'nykh s sindromami polipoza zheludochno-kishechnogo trakta.

We studied follow-up iliac mucosa biopsies from 11 patients with juvenile polyposis and 4 patients with familial adenomatous polyposis who had undergone total colectomy with mucosal proctoectomy with creation of straight ileoanal anastomosis. The biopsies that have been taken from the posterior wall of the terminal ileum show incomplete and focal neocolonic transformation of iliac mucosa. Nevertheless, in most cases iliac mucosa preserved its architectural and histochemical characteristics. Chronic inflammation in iliac mucosa is not typical for patients with polyposis.

[Morphological characteristics of gastrointestinal lesions in patients after total colectomy for colon polyposis]. / Morfologicheskaia kharakteristika porazhenii zheludochno-kishechnogo trakta u bol'nykh posle total'noi koléktomii po povodu polipoza tolstoi kishki.

11 patients with juvenile polyposis and 4 patients with familial adenomatous polyposis after total colectomy entered the study. Long-term follow-up with endoscopic examination and multiple biopsies in these patients showed high probability of polyps in preserved regions of the gastrointestinal tract. Therefore, regular prophylactic endoscopy, morphological examinations and biopsies of endoscopically normal mucous membrane are justified. Such policy is recommended especially for patients with familial adenomatous polyposis.