[Therapeutic and diagnostic complex in intestinal failure syndrome in patients with closed abdominal trauma].

Unlabelled: Currently, severe combined abdominal trauma ranks third among all causes of mortality In Russia, second only to cardiovascular and oncologic diseases. In the period from 2019 to 2020 in our country, a slight decrease in traumatism is noted due to a decrease in the number of traffic accidents as the main cause of combined and multiple trauma. The number of abdominal injuries from the total number of injuries In Russian regions ranges from 1.

[Complicated gastric cancer and modern treatment approaches].

Among all patients with gastric cancer, 40% admit to the hospitals due to cancer-related complications. The most common complications of gastric cancer are bleeding (22-80%), malignant gastric outlet obstruction (26-60%), and perforation (less than 5%). The main treatment methods for gastric cancer complicated by bleeding are various forms of endoscopic hemostasis, transarterial embolization and external beam radiotherapy.

Enteral therapy in patients with blunt abdominal trauma.

Objective: To improve the outcomes in ICU patients with blunt abdominal trauma via enteral therapy by saline enteral solution.

Material And Methods: A retrospective and prospective study included 24 patients (18 (75%) men and 6 (25%) women) with blunt abdominal trauma who underwent examination and treatment at the Sklifosovsky Research Institute for Emergency Care. Age of patients ranged from 38 to 81 years (mean 50.

[Endoscopic treatment of obstructive jaundice in patients with Klatskin tumor].

Objective: To improve treatment outcomes in patients with Klatskin tumor and obstructive jaundice by using of endoscopic bilioduodenal stenting.

Material And Methods: There were 1904 transpapillary interventions between August 2017 and February 2022. Endoscopic bilioduodenal stenting was performed in 250 patients including 25 (10%) ones with Klatskin tumor.

[Selective nonoperative management (SNOM) for penetrating abdominal wounds].

The authors summarize the world experience in the management of patients with penetrating abdominal wounds. A gradual transition from the concept of «mandatory laparotomy» to selective management and active-expectant approach in appropriate cases is described.