[The classification of ileostomies].

From experience in the treatment of 527 patients the authors suggested an original classification of ileostomy. The systematization was based on the following criteria: the object of ileostomy, the shape and method for formation of the opening, the peculiarities of its construction, localization, functions, as well as the nature of complications linked with ileostomy. The suggested classification takes into account the modern concept on artificially formed intestinal fistulas, and gives a complete idea of patients with ileostomy.

[Fat absorption in patients with inflammatory diseases of the large intestine and diffuse polyposis].

Radioisotope method with oral administration of 131I-trioleate glycerin and 131I-oleic acid was used to study the absorption of neutral fats and fatty acids in 123 patients with ulcerative colitis, diffuse polyposis of the large intestine, and in 7 patients with ileostomy. It was found that fat secretion with feces was insignificantly higher than the normal and fluctuated within the range of 6.6-11.

[Clinical evaluation of the condition of patients with ileostomy operated on for diffuse polyposis of the large intestine].

The work gives a clinical assessment of the state of 116 patients with ileostoma after radical surgery for diffuse polyposis of the colon. Metabolic disorders were noted in 40-50% of the patients with ileostoma for a long time after surgery. More than 60% of the patients do not participate in socially useful labor being the 1 and 2nd group invalids.

[Cancer of the small intestine at the site of an ileostomy].

A rather rare case of tubular-villous adenoma located on the small intestine mucosa in the ileostomy area and its transformation into adenocarcinoma is described. The patient had undergone previously a two-stage colectomy for a giant creeping large intestinal tumor with malignancy in the left and right colic flexure and in the rectum 7 cm apart from the anal margin. Adenocarcinoma of the small intestine developed 5 years later in the ileostomy zone.

[Analysis of complications and lethal outcomes of radical surgical treatment of diffuse polyposis of the large intestine].

279 radical surgical interventions for diffuse polyposis of the colon were performed. Lethality was 11,4%. Postoperative peritonitis was noted in 16,8%.

[Main forms and stages in the development of diffuse polyposis of the large intestine (problems of classification)].

Diffuse polyposis of the large intestine is a hereditary disease involving mostly young people and characterized by a high index of malignization. Previously proposed various classifications of the disease do not reflect completely the numerous important aspects of this pathology. On the basis of macro- and miroscopic studies on 186 operation preparations of the large intestine removed for diffuse polyposis 4 groups of the disease were distinguished: I--the largest group including polyposis with predominance of the cell proliferation processes (various kinds of adenomas--147 observations), II--polyposis with prevalence of secretion processes (juvenile polyps--24 observations), III--polyposis with both signs (10 observations); in this mixed group juvenile polyps alternated with glandular and glandular-villous polyps; group IV included 5 observations with Peuts-Jeghers syndrome.