Aim: To optimize surgical care for the hemorrhagic colorectal cancer.
Material And Methods: 77 patients diagnosed with hemorrhagic colorectal cancer were reviewed: 9 patients of them were efficaciously treated with conservative therapy (I group); 47 - underwent successful endoscopic coagulation (I); 4 - arterial embolization (I), 2 - ligation of internal iliac arteries (I), 15 - acute resection (II group). 20 of 62 patients I group underwent plan surgery and radiation or chemotherapy during 7-10 days after hemostasis and normalization hemoglobin.
Aim: To standardize surgical care for malignant colonic obstruction.
Material And Methods: There were 572 patients with malignant colonic obstruction: 247 of them were hospitalized in 2011-2013 (I group); 325 - in 2014-2017 (group II). Forty-six patients underwent medication; 302 - acute resection; 141 - stoma construction; 83 - stent deployment.
The immunological status was investigated in 200 patients with chronic pancreatitis. Recurrent pancreatitis was characterized by marked autosensitization to pancreatic tissue, latent pancreatitis forms--by a high level of immune complexes and blood serum immunoglobulins, the painful form--by minimal resistance disorders. Established were clinico-immunological parallels between the frequency of exacerbations and degree of autosensitization, level of immune complex and yield of enzymes.
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