[Application of endoscopic laser irradiation and antibacterial therapy in surgical treatment of duodenal ulcer disease].

For duodenal ulcer disease there were performed an isolated selective proximal vagotomy--in 63 patients, vagotomy with various kinds of drainage operations--in 32, gastric resection according to Billroth-II--in 19. The expediency of application of endoscopic laser irradiation and antibacterial therapy in preoperative preparation complex for prophylaxis of early postoperative complications and the ulcer recurrences occurrence was noted. Among the patients operated on without the preoperative preparation conduction the inflammatory complications in early postoperative period occurred in 19.

[The function of the digestive processes in the stomach and small intestine in complicated peptic ulcer].

On the basis of investigations designed to study the condition of intragastric proteolysis and membrane digestion in the small intestine in 148 patients it has been found out that peptic ulcer is accompanied by enhancement of digestive processes in the stomach and by decrease thereof in the small intestine. With the development of peptic ulcer complications digestive disorders get aggravated, which fact leads to various manifestations of the enteral syndrome. A conclusion has been reached that study into intragastric proteolysis and membrane digestion can be useful in the objective evaluation of the activity and degree of severity of the ulcerous process as well as in the functional assessment of results of the treatments administered.

[The use of duodenoplasty an selective proximal vagotomy in surgical treatment of duodenal ulcers].

In 42 patients with complicated duodenal ulcer disease after application of duodenoplasty and selective proximal vagotomy in a planned character an ulcer was not noted, good pyloric function was observed as well as a la carte, rhythmical and timely gastric emptying during (26 +/- 1) min on average.

[Surgical treatment of diseases of the operated stomach].

The experience of treatment of 303 patients with the operated stomach diseases (OSD) is summarized. It was established that to reduce the frequency of their occurrence it is necessary: to perform vagotomy especially selective proximal (SPV) thoroughly for complete acid producing zone denervation achievement; to examine gastric cardia and pyloroduodenal zone before and intraoperatively thoroughly to select an optimal method of its drainage; to conduct conservative therapy of ulcer disease after vagotomy conduction up to the ulcer defect healing according to endoscopic control data.