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Biomedical subjects

A M Khadzhibaev

Publications and source records attributed to A M Khadzhibaev.

At least 19 recordsLinked to original sources
PubMed2006

[Operations in injuries and strictures of bile ducts].

Analysis of surgical treatment of 336 patients with cicatricial strictures and iatrogenic external fistulas of extrahepatic bile ducts is presented. The causes of these complications were intrasurgical injuries during cholecystectomy (n=302), resection of the stomach (n=21) and echinococcectomy (n=13). In all the cases correction of water-electrolytic balance, treatment and prophylaxis of hepatic and renal insufficiency, control of anaerobic infection were carried out before and after surgery. Restorative operations were performed in 31 (9.2%) patients, reconstructive surgeries -- in 305 (90.7%). Recurrence of the stricture required surgical intervention in 38 (11,3%) patients. Various postoperative complications were diagnosed in 119 (35.4%) patients, 26 (7.7%) patients died. The main causes of death were insufficiency of anastomotic sutures, intoxication, hepatic and renal insufficiency due to purulent cholangitis and cholangiolytic abscesses of the liver.

Abdominal Injuries↗
PubMed2006

[Surgical treatment of gastric ulcers with correction of ulcerogenic zone and function of the organ].

The results of surgical treatment of 36 patients with gastric ulcers are analyzed. All these patients have undergone resection of 1/2 stomach with excision of the lesser curvature and creation of end-to-end gastroduodenoanastomosis (GDA, n=21), terminolateral GDA (n=2), antiperistaltic horizontal gastroenteroanastomosis (GEA, n=8) and isoperistaltic GEA (n=5). Five-year follow-up demonstrates good results of gastric resection with excision of the lesser curvature in patients with gastric ulcer.

Adult↗
PubMed2005

[Resection of the stomach with excision of the small curvature and selective vagotomy in primary and reconstructive surgery of gastroduodenal ulcers].

Experience in surgical treatment of 261 patients with complicated gastroduodenal ulcer is summarized. A new improved method of resection with subtotal excision of the small curvature and selective gastric vagotomy, creation of a gastric stump in the form of a proximal reservoir and distal tubular canal was used. In 144 cases this method was performed as repeated or reconstructive surgery in post-vagotomic ulcers. The follow-up was 5 years, long-term results were evaluated in 166 patients with the Visik scale. Excellent and good results were seen in 151 (91%) patients, satisfactory -- in 13 (7.8%), and a poor result (recurrence of ulcer) -- in 2 (1.2%) patients.

Adolescent↗
PubMed2005

[The role of endoscopy in diagnosis and treatment of gastroduodenal bleedings].

The experience in diagnosis and treatment of 469 patients with gastroduodenal ulcer bleedings is presented. Sensitivity of endoscopy in detection of bleeding source was 98.8%, in detection of ulcer size -- 93.4%, specificity -- 80.6%. It is demonstrated that the most frequently recurrence of bleeding occurs when ulcer size is more than 1 cm. Location of ulcer on posterior, posterior-superior and posterior-inferior walls of the duodenal bulb is an unfavorable prognostic symptom (rebleeding occurs in 17.1, 30.0 and 12.5% cases, respectively). Types Forrest-Ia and Forrest-IIa are especially dangerous for recurrence (21.4 and 15.6%, respectively). In types Forrest-Ib and Forrest-IIb rebleeding occurs less frequently (4 and 6%, respectively). In types Forrest-Ia and Forrest-Ib rebleeding occurs mainly on the first day, rebleeding in types Forrest-IIa occurs more often on the first-second day, however it is possible up to day 7. Rebleeding in types Forrest-IIb occurs also mainly during the first two days. Endoscopic hemostasis (electrocoagulation and injection therapy) was performed in 40 patients. In 6 (15%) cases hemostasis was not achieved. In 8 (20%) cases endoscopic hemostasis led to a temporary effect, i.e. rebleeding was seen within 24-72 hours after endoscopic procedure. Stable hemostasis with endoscopy was achieved in 26 (65%) patients.

Adolescent↗
PubMed2005

[Nutrition of patients operated for complicated gastroduodenal ulcers at the early postoperative period].

The investigation is based on an analysis of results of treatment of 102 patients after an emergency resection of the stomach for complicated gastroduodenal ulcers. The probe was inserted into the jejunum intraoperatively. The period of enteral probe nutrition (EPN) was 5-7 days. At the early postoperative period in patients who had undergone the emergency resection of the stomach EPN is an effective method of nutrition maintenance as compared with the infusion-transfusion therapy. The method is simple and open to general use, and is economically advantageous under conditions of any hospital.

Adolescent↗
PubMed2003

[Prevention of post-burn scarring esophageal strictures, strategies of surgical treatment].

Experience of treatment of 52 patients with oesophageal chemical burn in acute and early postburn period was analyzed, as well as in 649--with oesophageal postburn cicatricial stricture (OPCS). In 18 patients perforation of esophagus had occurred during performance of bougienage. Rational complex of diagnostic and therapeutic measures in such patients was determined. The results of bougienage in patients with OPCS were summarized. Causes of the oesophageal perforation occurrence during bougienage were analyzed. Tactics of surgical treatment of esophageal perforation was determined. Analysis of the treatment results and of the main causes, which conditioned upon the postoperative complications occurrence, was conducted.

Adolescent↗
PubMed2003

[Esophageal injuries: diagnosis and treatment].

The authors describe their experiences with treatment of 63 patients with penetrating damages of the esophagus. Suturing the esophagus wall with drainage of the zone of the injury and mediastinum was performed on 35 patients admitted to the hospital during the first day after injury. The rest of the patients underwent drainage of the injury zone, followed by gastrostomy and application of the nasogastral tube. Lethality was 29.6% and depended on the type of trauma, terms of the beginning of skilled medical treatment and the degree of the developed purulent complications.

Adolescent↗
PubMed1996

[The causes of incompetence of the duodenal stump and gastroenteric anastomosis and the means for its prevention in the surgery of duodenal ulcers].

Causes of the incompetence of stump sutures in resection of the stomach observed in 90 out of 3479 patients with chronic duodenal ulcers were analyzed. Most patients were found to have a combination of general and local factors. Among the local factors the leading one was appearance of a large inflammatory infiltration around the "active" ulcers. The endoscopic autohemoapplication to the ulcer included in the complex of preoperative preparation of the patients reduced the frequency of incompetence of sutures from 2.58% to 1.33%.

Anastomosis, Surgical↗
PubMed1993

[Surgical methods in recurrent peptic ulcer after vagotomy].

In treatment of recurrent and peptic postvagotomy ulcer, the performance of gastric resection is indicated. Of 53 patients with a recurrent ulcer, 20 had a "difficult" low penetrating ulcer. With the aim ot prevent duodenal suture failure, gastric resection in these patients was performed using the developed by the authors method which permitted to ensure safety of the single-layer suture of a duodenal stump with preservation of food passage through the duodenum. After truncal vagotomy with Jaboulay drainage operation, a defect in the duodenal wall was eliminated by means of creation of anastomosis with a gastric stump.

Adult↗
PubMed1990

[Corrective and reconstructive operations in post-vagotomy syndromes].

Among 322 patients with postvagotomy syndromes who were examined by the authors, 133 were subjected to reconstructive and corrective operations. Most of the patients (73.7%) who underwent surgery for the second time suffered from peptic, recurrent, and persisting ulcers due to vagotomy. The authors give preference to resection methods in recurrent ulcer after vagotomy and do not resort to revagotomy in an isolated form. The authors propose a new method for resection of the stomach in peptic ulcers after vagotomy with gastroduodenoanastomosis by the Jaboulay procedure. In the authors' opinion, the choice of method for reconstructive operations should be made with due regard for the pattern of a complication, the type of a primary surgery, and causes of their development.

Duodenal Ulcer↗