[Surgical treatment of duodenal fistulae].

The experience of surgical treatment of 10 patients with external intestinal fistulae was analyzed. The plot of the operation was to exlude the duodenum from the digestion by performing the retrocolic gastroenteroanastomosis after Roux or on the ultrashort loop. Early operation prevent septic complications and electrolyte disbalance. Duodenal fistulae, developed on the background of pancreonecrosis or after endoscopic retrograde cholangiopancreaticography, necessitate the external choledochial drainage.

[First experience of laparoscopic esophagocardiomyotomy for achalasia of the cardia]. / Pervyi opyt laparoskopicheskoi ézofagokardiomiotomii pri akhalazii kardii.

The first experience of extramucosal laparoscopic esophagocardiomyotomy performance in 12 patients for achalasia of cardia was summarized. There were presented main technical stages of the operation, indications, early and immediate results of its application as well.

[Application of clexane for prophylaxis of thromboembolic complications in surgery of morbid obesity]. / Primenenie kleksana dlia profilaktiki tromboémbolicheskikh oslozhnenii v khirurgii patologicheskogo ozhireniia.

The results of comparative clinical application of low-molecular heparin Clexan vs heparin for the thromboembolic complications prophylaxis in surgical treatment of morbid obesity were summarized.

[Application of adjustable gastric bandage in surgical treatment of morbid obesity]. / Primenenie upravliaemogo bandazha zheludka dlia khirurgicheskogo lecheniia patologicheskogo ozhireniia.

Experience of surgical treatment of 8 patients with morbid obesity, using regulated cuff Lap Band, was adduced. Body mass of patients have constituted from 105 to 185, (14.5 +/- 2.5) kg at average, body mass index--from 38 to 60 kg/m2. In all patients good result of treatment was noted in term from 6 to 28 months. Immediate results of the method usage gives evidence of its efficacy.

[Reoperation in late terms after surgical treatment of morbid obesity]. / Vypolnenie povtornoi operatsii v otdalennom periode posle khirurgicheskogo lecheniia patologicheskogo ozhireniia.

Experience of the reoperations performance after jejunoileoshunting and gastric volume reducing operations for morbid obesity (MO) was demonstrated on. They may serve as a concluding phase of MO surgical treatment (various variants of dermatolipectomy) or as a reconstructive-restorational operations, directed on correction of various pathological syndromes.