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Biomedical subjects

Iu I Gallinger

Publications and source records attributed to Iu I Gallinger.

At least 19 recordsLinked to original sources
PubMed1998

[The immediate and late results of the endoscopic treatment of strictures of the esophageal anastomoses after esophagoplasty].

The article summarizes 11 years' experience (1986-1997) of endoscopical treatment for scar strictures of esophageal anastomoses in 13 patients after various types of esophagoplasty. In 65% of patients the diameter of the anastomosis did not exceed 5 mm. For distension of the anastomoses bouginage, balloon dilation and both of them were used. All sorts of dilators were introduced through an endoscopically inserted guide. In one patient introduction of the guide was a failure. Endoscopical procedures were performed in 112 patients. The diameter of the anastomosis 14 mm and more was achieved in 40 (35.7%) patients, 10-13 mm--56 (50,0%), less than 10 mm--in 18 (14.3%). In one half of the patients restenosis developed 1-3 months after the treatment. As a prophylactic measure it is necessary to maintain regular treatment in outpatient clinic with increasing interval during 3-6 months using any available dilators of a large diameter.

Anastomosis, Surgical↗
PubMed1994

[Initial experience with laparoscopic appendectomy].

On the basis of analysis of their personal experience and the literature data, the authors claim that appendectomy under control of a laparoscope is an alternative to the traditional operation. Laparoscopic appendectomy was conducted in patients with acute and chronic appendicitis. The indication for appendectomy in chronic form of the disease is determined by the results of complete clinical examination and laparoscopic inspection of the region of the right iliac fossa, which is undertaken before each operative intervention. The authors performed laparoscopic appendectomy with the use of a monitor which made it possible for the operating team to watch the operation. The base of the process was ligated with an endoligature or compressed with clips, and then cutoff by means of high frequency current. The stump of the process was not buried in the cupula of the cecum. Laparoscopic appendectomy for chronic appendicitis was performed, as a rule, as a simultaneous intervention in laparoscopic cholecystectomy or operations undertaken for other diseases. The authors did not encounter in the postoperative period any complications associated with appendectomy. The postoperative period was somewhat easier than after the traditional intervention. The motor activity of the patients was completely restored as early as the second-third day. Experience shows competence of such operations.

Acute Disease↗
PubMed1993

[Laparoscopic cholecystectomy].

The techniques of laparoscopic cholecystectomy is described. The operation was carried out on 37 patients with various diseases of the gallbladder. The indications and contraindications for this operation are discussed. The authors did not encounter serious postoperative complications. Infiltration developed in the region of the umbilical incision in one case. All patients were discharged from the clinic on the 2nd to 11th day. The authors believe expedient the organization of special centers for training in laparoscopic cholecystectomy.

Adolescent↗
PubMed1992

[Endoscopic interventions in cicatricial strictures of esophageal anastomoses].

Endoscopic balloon hydrodilation was conducted in 39 patients with cicatricial stenoses of esophageal anastomoses, in 12 patients it was combined with electrodissection of the esophageal anastomosis, in 3 with bougienage, and in 10 with temporary endoprosthetics. The anastomosis was dilated adequately (to 2.0-2.5 cm) in 38 patients. In one case endoscopic treatment was ineffective; another surgical intervention was performed. In another case endoprosthetics was complicated by decubitus of the cervical esophagus (favorable outcome). In late-term period of 2 months to 4 years restenosis occurred in 6 of 38 patients; the course of dilation was repeated in 4 patients, 2 patients underwent a reconstructive operation. The authors believe that in development of cicatricial stenosis of the esophageal anastomosis modern methods of therapeutic endoscopy should be resorted to in the first place, and only if they prove ineffective should the question of repeated surgical intervention be discussed. Balloon hydrodilation is the principal method of operative endoscopy in cicatricial stenoses of esophageal anastomoses, which in some cases should be combined with other endoscopic interventions (electroincision and temporary endoprosthetics).

Adolescent↗
PubMed1990

[Endoscopic study using a superthin endoscope in benign esophageal strictures].

To increase the diagnostic possibilities, the authors suggested a method of endoscopic examination of patients with esophageal strictures by means of a superthin PF-28 fibroscope produced by the Olympus firm (Japan), which was introduced along a string-guide. The examination was successful in 24 of 26 patients. Clinical observations have shown that esophagogastroscopy with a superthin endoscope makes it possible to recognize the exact length of the stenosed segment, detect the second zone of stenosis, and determine the condition of the mucous membrane of the esophago-gastric junction and the proximal part of the stomach.

Adult↗
PubMed1990

[Current possibilities of diagnostic and surgical endoscopy in cicatricial esophageal stenosis].

Endoscopic methods of examination have been employed in 153 cases of burn and peptic strictures of the esophagus. The experience has shown that the use of small-diameter (including ultrathin) fiber endoscopes provides maximum information of the status of the esophagus along its whole length as well as of the stomach and duodenum, which is of importance in the choice of therapeutic tactics in this category of patients. Eighty one patients with cicatricial stenosis of the esophagus and esophageal anastomoses were subjected to various endoscopic interventions: balloon hydrodilation, bougienage, electrocision, and endoprosthesis . Balloon hydrodilatation was the major technique and in many cases was combined with other modes of therapeutic endoscopy. The authors' experience suggest that endoscopy adds to the available treatments for cicatricial strictures of the esophagus and esophageal anastomoses.

Adolescent↗
PubMed1990

[Endoscopic electro- and laser surgery in diseases of the trachea and bronchi].

Endoscopic interventions with the use of a AIH-laser and high frequency currents were carried out in 72 patients with tumors and cicatricial stenoses of the trachea and bronchi. Intraoperative complications occurred in 4 patients. The immediate results were good and satisfactory in 92.8% of patients. The authors conclude that the use of a polypectomic loop is advisable in removal of tumors on a narrow base, those on a wide base are best destroyed with a laser; the use of an AIH-laser beam in the treatment of cicatricial stenosis is undesirable.

Adolescent↗
PubMed1990

[Use of electron video-endoscopic system in the diagnostic and therapeutic endoscopy].

Welch Allyn videoendoscopic system (USA) was used in 739 diagnostic and therapeutic investigations of 573 patients with various diseases of the gastrointestinal tract. Clinical experience has demonstrated the advantages of videoendoscope over common fibroscopes: it permits monitoring of the investigation by several specialists simultaneously, improves the training of specialists in endoscopy, permits recording and storage of endoscopic information, etc. At the same time videoendoscopes of this system are not devoid of shortcomings, i.e. the working part is too flexible, the image is frequently misrepresented during operation, this necessitating additional designing. On the whole videoendoscopic systems hold good promise in gastrointestinal endoscopy.

Adolescent↗
PubMed1989

[Endoscopic balloon hydro-dilatation of cicatricial strictures of the esophagus and esophageal anastomoses].

Endoscopic balloon hydro-dilatation produced good results in 36 patients with cicatricial strictures of the esophagus and esophageal anastomoses and in 6 patients with 3rd-4th stage of cardiospasm. The authors claim that an endoscopic intervention may be used as an effective method of nonoperative treatment of cicatricial strictures of the esophagus and esophageal anastomoses which causes little injury as well as a method of preoperative restoration of normal oral feeding for rapid preparation of patients for surgical operations.

Adolescent↗
PubMed1989

[Endoscopic papillosphincterotomy in patients with acute cholecystitis and lesions of the common bile duct].

The authors analyse treatment of 115 patients who were admitted for acute cholecystitis with involvement of the bile ducts which manifested itself as a rule, as obstructive jaundice and cholangitis. Endoscopic papillosphincterotomy (EPST) was conducted as the first stage of treatment in 83 patients, as the second stage after cholecystectomy or laparoscopic cholecystotomy in 30, and during the surgical intervention in 2 patients. Experience shows that treatment of this contingent of patients in two stages is advisable. In emergency operations for acute cholecystitis, when the revealed abnormalities in the hepaticocholedochus cannot be corrected adequately due to the patient's severe condition or marked inflammatory changes in the region of the hepatoduodenal ligament, the operation should be completed by drainage of the common bile duct and antegrade or retrograde EPST should be performed in the post-operative period. In the presence of obstructive jaundice and acute suppurative cholangitis, when there is a high operative risk, EPST should be undertaken as an emergency intervention ensuring timely decompression and cleansing of the bile ducts. In 37.3% of patients EPST was conducted by an atypical method due to the high operative risk, as a result the efficacy of the endoscopic operation increased to 93.3%.

Acute Disease↗