[Use of an x-ray method in the assessment of changes in the intestinal wall in colonic diverticulosis].

The authors analyze x-ray findings in 194 patients with colonic diverticulosis and its inflammatory complications. Findings of preoperative irrigoscopy were correlated with dates of morphological investigations. Roentgenomorphological and functional changes were assessed in different clinical types of colonic diverticulosis.

[Radiologic diagnosis of inflammatory complications of colonic diverticulosis].

The authors analyze x-ray findings in 194 patients with colonic diverticulosis and its inflammatory complications. Clinical, x-ray, and morphologic studies helped the authors to specify the x-ray semeiotics of diverticulitis, paraintestinal infiltrates, intestinal fistulas. An optimal complex of radiological methods to detect each of these complications has been developed.

[Clinical aspects, diagnosis and treatment of hypoganglionosis of the colon in adults].

Surgical treatment of chronic colonic stasis is still a complicated and difficult for solution problem. The undertaken study characterizes one of the causes of chronic constipation in adults--the hypoganglionic variant of Hirschsprung's disease whose clinical course is marked by a prolonged period of compensation while the complex diagnosis is extremely difficult. The severe disorders of the motor-evacuation function of the large intestine make surgery necessary; operation leads to recovery of 96% of patients.

[Complex evaluation of the healing of intestinal anastomoses in the early postoperative period].

Eighty-six patients were subjected to complex examination in the immediate postoperative period to check the condition of intestinal anastomoses. In 58 (67.4%) patients inflammation in the zone of the anastomosis was found to be negligible and produced no specific clinical manifestations; 28 (32.

[Healing of the anastomoses in restorative-reconstructive surgery of the large intestine].

An analysis of healing the intestinal anastomoses in 52 patients after restorative-reconstructive operations on the colon is presented. In 36.5% of the cases a complicated course of the early postoperative period was observed: anastomositis--in 28.

[The use of fluorography in the diagnosis of tumors of the large intestine].

A current approach to the perfection of the diagnosis of colonic tumors is proposed in patients at risk by means of introduction into the ambulatory health care system (polyclinics, diagnostic centers) of standardized colonic fluorography followed by endoscopy in necessary cases. The main organizational and methodological principles of the use of colonic fluorography were worked out as a method of screening to reveal colonic tumors. It is suggested that such new elements as the "prescopic stage" realized outside the radiation zone, automated distant air inflation into the colon and so forth may be introduced in colonic fluorographic examination.

[Clinico-roentgenological diagnosis of the perifocal inflammatory process in patients with cancer of the rectum].

An examination of 1525 patients has established that the main clinical symptoms of the perifocal inflammatory process are: hyperthermia of different degrees, leukocytosis and higher ESR, pain in the rectum area and in the abdomen, tenderness and pasty tissues in the tumor area. The roentgenological symptoms are: the presence of fistulas, considerable dilatation of presacral space not corresponding to the tumor size, pathological "cellularity" of the paraintestinal tissues.

[Giant spreading villous tumors of the colon and rectum].

Two rare observations in which villous tumors affected the mucous membranes of the rectum and transverse colon are described. In one case the lesions extended for 60 cm, in the other the neoplasm occupied the entire inner surface of the rectum and colon as well as the adjacent area of the ileum, whereas in the area of the liver and spleen bends there were areas of adenocarcinoma. Both observations were characterized by marked inflammatory infiltration in some parts of the villous tumor.