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Biomedical subjects

P Pomakov

Publications and source records attributed to P Pomakov.

10 recordsLinked to original sources

[Gastroduodenal ulcers during the period of acute economical crisis].

The occurrence and development of acute ulcers in Sofia during the period of heavy economical recession--January trough February 1991--is analyzed. There is a clear cut increase in the total number and rate of acute duodenal ulcers from 2 to 14%. No gastric ulcer cases are recorded. The young age group--up to 40 years of age--is mainly affected (79% of cases). The incidence among the female population shows a noticeable rise. Difficult living, working and social conditions, associated with inadequate feeding regimen with diets, poor in meat and vitamins, are taken to be the underlying factors of acute ulcers development during the period in question.

Adult↗

[Percutaneous transhepatic cholangiography with an ultra-fine needle (Chiba) in the diagnosis and differential diagnosis of cholestasis].

The results are reported from the application of percutaneous transhepatal cholangiography (PTC) to 17 patients with cholestasis--II with extrahepatal cholestasis, 4 with primary biliary cirrhosis and 2--with cholelithiasis. PTC was 100 per cent successful in the patients with dilated biliary ducts, and in those with not dilated ones--in 66.60% (totally in 88.24%). In six of the patients PTC was successful as early as the first liver puncture, and six--with the second and in three--with the third (in two patients with not dilated biliary ducts PTC failed). After PTC performance, pains in epigastrium and under right hypochondrial region appeared in the majority of the patients (no grave complications and lethal cases were observed). Via PTC an accurate diagnosis could be made, the causes of biliary ducts obstructions being precosely localized and specified in 80 to 88.6 per cent. PTC supplements and defines more accurately the clinical diagnosis in 35.29 per cent, contributing to the making of an accurate diagnosis for the first time in 29.42 per cent of the examined patients.

Adult↗