[Combined endoscopic diagnostics with catheter confocal endomicroscopy for gastric neoplasia detection].

The analysis of combined endoscopic diagnostics with catheter confocal laser endomicroscopy (CCLE) for detection of gastric neoplasia in 103 patients is presented in the article. It was described the main principles of catheter confocal laser endomicroscopy by using of Cellvizio-system ("Mauna Kea Technologies", France). All patients underwent esophagogastroduodenoscopy before catheter confocal laser endomicroscopy.

[Endoscopic treatment of gastric varices bleeding].

The problem of prevention of variceal bleeding (VB) of esophagus and stomach in patients with portal hypertension has not lost its relevance due to the high mortality rates (reaching 50% at relapse), as a result of the objective difficulties of implementation of efficient primary hemostasis and subsequent control of recurrent bleeding and adequate correction of coagulopathy, and decompensated liver function. Endoscopic ligation of esophageal VB latex rings or plastic endo loop continues to be the standard prevention of bleeding of portal genesis (Baveno IV, V). However, according to several authors, endoscopic ligation by latex rings should not be used in the propagation of VB on the stomach (as well as the presence of VB isolated stomach) because of the danger of destruction latex by gastric juice.

[Indications for atypical papillotomy by the method of trans-pancreatic precut of the Vater's papilla in case of inability of the standard cannulation].

The analysis of our own experience of atypical endoscopic sphincterotomy by transpancreatic precut, its effectiveness is evaluated and analyzed the complications and their causes.

[Subclavian-femoral bypass grafting in treatment of lower-limb critical ischaemia in an elderly patient with an inoperable thoracoabdominal aortic aneurysm].

The authors describe herein a variant of successful palliative treatment of a 73-year-old male patient suffering from an inoperable thoracoabdominal aortic aneurysm accompanied by coronary artery disease, painless myocardial ischaemia, pathological tortuosity of the left internal carotid artery, type 2 diabetes mellitus, and chronic renal insufficiency. The patient was admitted to the Department of Vascular Surgery presenting with critical ischaemia of his left lower limb, complaining of numbness and gnawing pain both at rest and while walking a distance of up to 10-15 metres, demonstrating portions of skin ischaemia up to 2 cm long on the anterior surface of the femoral upper third, clinical signs of a thoracoabdominal aortic aneurysm, the presence of a pulsating formation in the projection of the infrarenal portion of the abdominal aorta measuring 5x6 cm. The diagnosis was made based on the findings of instrumental examination, ultrasonography, multispiral computed tomographic angiography, and coronarography, having confirmed the following: a thoracoabdominal aortic aneurysm, occlusion of the left common artery and anterior iliac artery, coronary artery disease, painless myocardial ischaemia, pathological kinking of the left internal carotid artery, chronic renal insufficiency, and type 2 diabetes mellitus.

[Endoscopic treatment at cholangioscopic cholangiolitiasis].

The article shows a retrospective analysis of endoscopic cholangioscopic conducted as an independent intervention after endoscopic retrograde cholangiopancreatography, and as an auxiliary manipulation during open and laparoscopic surgery. Was demonstrated that cholangioscopic manipulation can be an effective tool both in diagnosis and in prevention and treatment of recurrent and residual cholangiolitiasis, particularly in difficult-to-standard endoscopic techniques of cases. Were refined indications for manipulation and evaluated the diagnostic value and therapeutic effectiveness of the cholangioscopic manipulations.