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Biomedical subjects

I Viiachki

Publications and source records attributed to I Viiachki.

At least 73 records · Page 4Linked to original sources

[Secondary postresection enteral insufficiency].

The literature on the problem of enteral insufficiency is reviewed. Secondary enteral insufficiency is of interest both to clinicians and to physiologists and pathophysiologists, who might join their efforts for studying the fine mechanisms of the intestinal functions and refine the methods of treatment of enteral insufficiency.

Afferent Loop Syndrome↗

[Cancer of the pancreas. V. The characteristics of the histological forms and of local complications in carcinoma of the pancreas in both sexes].

A study of ample postmortem case material of 25589 autopsies for a period of 25 years (1963-1987) revealed great diversity of the histologic forms of pancreas cancer both in males and in females, associated with numerous local complications (infiltration in adjacent organs). The major number of cases--144 (34.4 per cent of the total number) had histologic characteristics of adenocarcinoma: 88 cases in males (32.1 per cent) and 56 in females (38.6 per cent). Second in incidence--109 cases (26 per cent of the total number) had histologic characteristics of adenoscirrhous cancer--77 in males (28.1 per cent) and 32 in females (22.1 per cent). This is in keeping with the concept that adenocarcinoma is the most common from of pancreas cancer. The next most common forms are adenocarcinoma combined with nondifferentiated cancer, gelatinous carcinoma, adenoscirrhous with nondifferentiated scirrhous carcinoma, etc. An interesting fact is that the general trend of predominance of carcinoma of almost all histologic forms in males keeps on being valid. It is logical to expect that adenocarcinoma will keep on being the most common histologic form of pancreas cancer in the future.

Adenocarcinoma↗

[Intraoperative abdominal echography].

Results of the use of abdominal intraoperative echography are reported for the first time in this country. The diagnostic precision, the scanning technique and the problems encountered in examining 56 patients are discussed. The high value of the method in small hepatic tumors, hepatic cysts and abscesses, common bile duct calculosis and pancreas cancer is pointed out. In operative interventions on gastrointestinal neoplasms intraoperative echography may be used for continuing surgical palpation into the butt. To master the method and introduce it as a routine method in clinical practice it is necessary, to use modern equipment, to be skilled in scanning technique and to have thorough knowledge on the characteristics of the intraoperative images of the different pathologic processes.

Abdomen↗

[AIDS patients--the surgical and deontological problems].

A case is reported of acquired immunodeficiency, in whom operative intervention was performed. A series of problems of surgical and deontologic aspect are raised, which ought to be solved without inducing mental trauma to the patients. Paralleling this, measures should be taken, to reduce to a minimum the risk of nosocomial infection to the medical staff.

Acquired Immunodeficiency Syndrome↗

[Our experience in treating rectovaginal fistulae].

Twenty six cases of acquired rectovaginal fistulas, operated during the period 1982-1989 are reported. The intervention in 18 patients was modified Gabriel's operation, in four patients combined with the modified method of sphincterolevatorplasty and in 4 patients--preternatural anus. Inferences are made that the results of the authors' approach to the treatment of rectovaginal fistulas are encouraging, despite the small number of cases (26 patients). With good technique and fulfillment the operative treatment is reliable.

Adult↗

[Acute surgical abdomen in infectious and parasitic diseases].

A review of the literature is made on the complicated course of infectious and parasitic diseases, in which acute surgical abdomen syndrome develops. Surgical treatment of complicated infectious and parasitic diseases is a complex endeavour both from surgical and epidemiologic aspect. The high mortality rate after operations in complicated forms is associated with tactical errors in the surgical treatment and erroneously estimated extent of the surgical intervention.

Abdomen, Acute↗

[Cancer of the pancreas. VI. The characteristics of the localization and metastasis of tumors of the gland in both sexes].

Particular attention is called to the localization and metastasizing of the tumor in different organs and systems of the body of males and females. To this end, a rather ample postmortem case material was used. Included in the study were 25,589 autopsies performed over a period of 25 years (1963-1987). Pancreas cancer was detected in 419 autopsies--274 males (65.4 per cent) and 145 females (34.6 per cent). The neoplastic process was analyzed by sex in two directions: metastasizing in near and remote organs and study of the connection between cancer localization in the pancreas and metastasizing in the body. Difficulties are pointed out, encountered with cancers in advanced biological development, when metastases in the gall bladder from primary cancer of the pancreas and from primary cancer of the bile ducts are to be differentiated. It follows from this analysis that metastases of pancreas cancer were most frequent in the regional lymph nodes, with metastases in the liver and lungs ranking next in both sexes. Metastases in other organs were relatively seldom encountered.

Bulgaria↗

[Typical and atypical resections of the liver with 2 clinical cases].

The development of resection liver surgery is discussed in a historical aspect. The basic topographic-anatomical guidelines, indications and different techniques of performance of atypical and typical liver resection are given. Two clinical cases of spacious liver resections are reported: resection of large hydatid cyst of the left lobe in a 16 years old girl and two liver resection for liver cystadenocarcinoma in a 25 years old woman. The advantages of applying top technical achievements in liver resection surgery are pointed out.

Adolescent↗

[Pancreatic cancer--the localization and metastasis of the tumor in the gland (a statistical analysis of autopsy data from the Department of Pathological Anatomy of the Biomedical Research Institute in 1963-1987)].

Special attention is called to the localization and metastasizing of pancreatic cancer in different organs and systems. Ample post-mortem case material was used to this end, including 25,589 autopsies for 25 years (1963-1987). Pancreatic cancer was recorded in 419 cases--174 men and 145 women. The neoplastic process was analyzed in three aspects: metastasizing in near and in more remote organs; study the relation between localization of the cancer and its metastasizing; elucidation of the relation between the histologic forms of pancreatic cancer and its complications (infiltration and metastasizing). It is concluded that most common were the metastases in the regional lymph nodes, followed in incidence by those in the liver, lungs and intestines. Metastases in other organs were comparatively less common.

Bulgaria↗

[Acute abdomen and thermal burns].

A review of the literature is made on the problem of the acute surgical abdomen under conditions of thermic shock. Such basic nosologic entities, as acute ulcers, acute cholecystitis, thrombosis and embolism of mesenterial vessels and hematogenous peritonitis, which may be directly related to thermic burns, are given detailed consideration. Thermic trauma raises complex and diverse problems; one of the pathways to reduce the lethal outcome in patients with burns is to face the acute abdomen problem with adequate approach to the pathogenesis, diagnosis and treatment of each nosologic entity.

Abdomen, Acute↗

[The immunology of gastric and duodenal peptic ulcer].

The literature on the current concepts of the immunologic processes underlying the appearance and development of gastroduodenal ulcer is reviewed. The immunopathogenesis of the disease is presented and the role of the immunocompetent tissues of the gastrointestinal tract in this pathology is outlined.

ABO Blood-Group System↗