[Diagnosis and treatment of acute intestinal obstruction due to gall-stone].

Results of treatment of 43 patients with acute intestinal obstruction due to gall-stones are analyzed. Forty patients were operated, 3 patients were not because of extremely severe state. Enterolythotomy was performed in 27 cases, incision of intestinal wall was carried out directly above the stones (14 cases, group 1), above or below it (13 cases, group 2).

[Surgical strategy in oncologic diseases of organs of the pancreatobiliary zone complicated by mechanical jaundice].

In patients operated upon for oncological diseases of organs of the pancreatobiliary zone complicated by mechanical jaundice the lethality was decreased in a group of patients with purulent cholangitis and high biliary hypertension by means of using a two-stage method of operative treatment, use of the dosaged decompression of the bile ducts with a gradually increased diameter of the drain from 4 to 7-8 mm being most effective. A good effect of the application of complex antibacterial therapy was also noted when using a direct endolymphatic administration and intracholedochal perfusion of antibiotics. It allowed twice as quick to arrest the inflammatory process in the bile ducts, to normalize the biochemical indices of blood, and to prepare the patient for the main stage of operation.

[Diagnosis and treatment of gastrointestinal hemorrhage].

The article analyses the results of treatment of 4,430 patients with gastrointestinal bleeding in the last four decades. Two periods, from 1950 to 1969 and from 1970 to 1990, are compared from the standpoint of change of the disease structure, the methods of diagnosis and hemostasis. The number of hemorrhages of ulcer genesis reduced from 80 to 40.

[Effect of atmospheric pollution on morbidity among the children of preschool age].

The studies carried out have shown, that long duration of living (not less than 3 years) in the district with a significant degree of ambient air pollution plays a role in the increase of morbidity of children. Actual level of pollution of ambient air in an industrial city corresponded to high and very high degree of pollution (integral index P for the annual period of averaging during the 5 years varied from 7.7 to 32.

[Experimental bases of endoscopic correction of the secretory function of the stomach].

The article gives experimental data proving the usage of the method of bloodless reduction of gastric secretion through endoscope in case of peptic ulcer. Pricking around the secretory zones of the stomach with hypertonic glucose solution conducted on 35 mongrel dogs led to a stable reduction of acid producing function of the stomach. Morphological changes of the stomach mucous membrane were mainly expressed in the atrophy of glands.

[Antimony accumulation in agricultural food crops].

A study was made of the antimony content in some farm products of plant and animal origin in the zones of wastes of antimony factories and those having nothing to do with antimony processing. The content of antimony was discovered to be elevated in all foods obtained in the zone where antimony factories are located, especially in vegetables with ground fruit. A high antimony content was detected in milk.

[Nosologic position of confabulatory-paraphrenic psychoses of old age].

Three groups of elderly patients were studied. The state of these patients was characterized by confabulatory-paraphrenic delusion which developed for the first in senility. The nozological character of the first two groups of patients did not cause any doubt about their close connection with senile dementia.

[Role of phlebography in surgery of recurrent varicose veins of the lower limbs].

It is believed by the investigators of recurrent venous varicosity of lower limbs that phlebography aids to detect errors of the performed operative procedure and to reveal what caused the recurrence. The authors' experience comprise 48 distal, ascending, vertical phlebographies, and 47 pelvic and retrograde femoral ones in 60 patients, both explorations being utilized for 28 lower limbs. Distal phlebography in 44 of 48 examined patients indicated insufficiency of perforated veins that caused the recurrent crural varices.