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Biomedical subjects

Iu V Sinev

Publications and source records attributed to Iu V Sinev.

At least 19 recordsLinked to original sources

[Results of esophagogastroduodenoscopy many years after Chernobyl accident among those taking place in the liquidation of the results of the disaster].

Gastroduodenal disorders were studied endoscopically for 5 years in 159 Chernobyl wreckers and were compared to subjects unexposed to ionising radiation. Upper gastroduodenal tract was examined with esophagogastroduodenoscopy to avoid additional radiation load. It was found that 8-12 years after irradiation, many examinees had gastroduodenal mucosa erosions the rate of which was persistently high. Incidences of malignant and benign tumors in the study and control groups did not differ significantly.

Adult↗

[Endoscopic pharmacologic denervation of the stomach in the treatment of acute pancreatitis].

The article discusses the results of medicamentous denervation of the stomach performed in 69 patients with various forms of pancreatitis 1-4 days after the onset of the disease. The efficacy of treatment was significantly higher statistically in the group of patients who were subjected to endoscopic medicamentous denervation of the stomach practically in all degrees of severity. By reducing the effect of the vagus nerve on the pathological process, this method makes it possible to improve considerably the results of treatment of patients with acute pancreatitis and shorten the terms of therapeutic fasting and in--patient treatment. Endoscopic medicamentous denervation of the stomach is indicated for all patients with acute pancreatitis in the immediate period after the onset of the disease, and the results are best when it is undertaken before destructive processes develop in the pancreas.

Acute Disease↗

[Prevention of complications of endoscopic electric excision of benign tumors of the stomach].

The authors suggest a method for endoscopic infiltration of glue under the base of a benign gastric tumor before its removal through an endoscope, for the prevention of bleeding from its seat and perforation of the organ. The method was used in removal of 116 benign tumors measuring from 0.5 to 5.0 cm in size. The results provide evidence of reliable prevention of these complications with the use of the suggested method.

Administration, Topical↗

[The role of esophagogastroduodenoscopy in the differential diagnosis of acute cholecystitis and acute pancreatitis in diseases of the upper gastrointestinal tract].

The examination of 411 patients with diagnosis of acute cholecystitis (AH) and pancreatitis (AP) showed that 14% of the examinees had malignant or benign affections of the upper portion of the gastrointestinal tract. AH and AP were noted to occur frequently in combination with duodenal ulcer. As for gastric ulcer, it often simulates the above diseases.

Acute Disease↗

[Endoscopic and sparing surgical interventions in the treatment of patients with acute cholecystitis and high surgical risk].

Laparoscopic gallbladder drainage was performed as an alternative intervention to an emergency operation in 97 patients with acute cholecystitis whose ages ranged from 60 to 89 years. One patient died from thromboembolism of the pulmonary artery. After acute inflammation was arrested, 37 patients underwent cholecystectomy. The risk of a radical operation was ascertained to be very high in 58 cases. In 19 of these cases endoscopic cleansing of the cystic cavity was performed through cholecystostomy formed during laparoscopic drainage of the gallbladder. In 39 cases the therapeutic process was completed by a sparing operation--sanative cholecystostomy which was carried out under local anesthesia. There were no fatal outcomes in these groups. Endoscopic papillosphincterotomy was conducted in 17 patients, with stones in the gallbladder and choledocholithiasis, after which the stones were removed. The performance of endoscopic and surgical interventions which cause minimal injury provides for adequate sanative treatment of the gallbladder in cases in which cholecystectomy is an extremely high risk.

Aged↗

[Endoscopic glue infiltration and diathermocoagulation in the complex treatment of patients with acute gastroduodenal hemorrhages].

A special medicinal glue MIK-T capable of infiltrating biological tissue by means of an endoscopic needle was developed. The authors suggest a method for glue endoscopic infiltration of the source of gastroduodenal bleeding for its arrest and prevention of a recurrence. Experimental study was undertaken to study the efficacy of glue endoscopic infiltration, determine the terms of glue resolution, and reveal the morphological changes in the zone of glue injection. The method of glue endoscopic infiltration was employed in complex treatment of 109 patients with acute gastroduodenal bleeding. The results provide evidence of the high efficacy of the method and its advantages over diathermocoagulation in arresting and preventing recurrences of acute gastroduodenal bleeding.

Acute Disease↗

[The use of copper-vapor laser radiation on patients with chemical burns of the esophagus via fiber esophagoscopy].

Fifty patients with chemical burns of the esophagus were examined fibroesophagoscopically. All of them underwent local endoscopic irradiation by a copper vapour laser. Laser treatment promoted more rapid healing of the esophageal wall. No cicatrization-induced strictures were noted. Adjuvant local laser therapy is believed valid in management of esophageal chemical trauma.

Adolescent↗

[Naso-intestinal endoscopic intubation in the complex treatment of postoperative intestinal obstruction].

The long-tube decompression was used for treatment of 54 selected patients with diagnosis of early postoperative intestinal obstruction. For this purpose a silicon double-lumen wire-guided tube has been endoscopically introduced into the proximal portion of the small intestine. In 40 cases continuous decompression of the small bowel brought about a successful resolution of intestinal obstruction by nonoperative therapy. Failure of the conservative treatment within the first 48 hours after intubation has led to operation in 14 cases. Six patients died in this series (4 patients died of multiple organ failure, 2--of thromboembolism). The study has shown that the method can be successfully used.

Abdomen, Acute↗

[A comparative evaluation of the results of using a method for the endoscopic denervation of the corpus gastricum and for local laser therapy in the combined treatment of patients with duodenal ulcers].

The authors provide the results of the treatment of patients with duodenal ulcers using common conservative therapy, local laser therapy and endoscopic denervation of the body of the stomach. Inclusion of endoscopic treatment methods into multimodality treatment brought about the enhancement of the treatment efficacy, more pronounced with endoscopic denervation.

Adolescent↗

[Mallory-Weiss syndrome in acute poisoning with non-caustic substances].

The authors presented the results of diagnostic and therapeutic esophagogastroduodenoscopy in the Mallory-Weiss syndrome observed in patients with acute ++non-caustic poisoning. Altogether 47 patients were investigated for suspected gastrointestinal bleeding. The Mallory-Weiss syndrome was detected in 20 (42.5%) patients. Therapeutic endoscopic intervention was performed in 5 cases of this syndrome to stop bleeding.

Acute Disease↗

[Fungal infection of the esophagus and stomach after chemical burns].

Endoscopic signs of esophageal fungal lesions were established in 7.5% of patients with chemical impairment of the gastrointestinal tract on day 10-15 since the burn. Endoscopically, there were two forms of the esophageal lesion. To make the diagnosis more reliable, specific evidence at endoscopy and bacterioscopy should be used while the differential diagnosis should be based on biopotentialometry. Early diagnosis of fungal involvement may provide better response in the treatment of patients with chemical burns.

Burns, Chemical↗

[Diagnostic and therapeutic endoscopy in acute obstruction of the large intestine].

A total of 100 patients with a clinical picture of acute large-intestinal obstruction have been examined to whom 157 endoscopic highly effective diagnostic and therapeutic interventions were performed. The data obtained were used to determine the sequence of actions by a specialist in endoscopy during the treatment of large intestinal obstruction.

Acute Disease↗