[Blood insulin levels in surgical treatment of peptic ulcer].

Blood plasma insulin has been studied in 74 patients with gastroduodenal peptic ulcer (GDU) with the aid of the radioimmunological method before the operation, in the early and remote postoperative periods. Prior to surgery, the level of insulin gets increased on an empty stomach and after stimulation both in gastric and in duodenal peptic ulcer. The hormone content has been found to be reduced postoperatively, both in the immediate and remote periods but pyloroplasty in selective proximal vagotomy and especially in selective vagotomy resulted in a greater increase in insulin following its stimulation with test breakfast.

[Surgical treatment of patients with duodenal ulcer].

Ulcer incidence in the Crimeahas increased during the last 9 years from 118.4 to 185.7 cases per 10,000 of adult population, being higher in South Coast and in mountains.

[The late results of combined surgical treatment in peptic ulcer patients].

Long-term results (for 10 and more years) were analyzed in 661 of 693 patients operated upon for ulcer disease of the stomach and duodenum. The complex antiulcerous treatment before operation, immediately after it, at the nearest and remote periods, the sanatorium and resort treatment were given to 377 patients while 316 patients were treated by the generally accepted methods only, without a sanatorium rehabilitation. The best results were obtained after all kinds of operations (resection of the stomach, vagotomy with resection of the stomach, truncal and selective vagotomy with drainage operations, selective proximal vagotomy) in patients treated by complex methods with the sanatorium rehabilitation.