[Treatment of acute ulcerous gastroduodenal hemorrhage].

Basic principles of infusion-transfusional therapy, methods of endoscopic hemostasis as well as indications for surgical treatment of acute hemorrhagic ulcers of the stomach and the duodenum are presented. If is stated that valid use of endoscopic methods of hemostasis provides possibility for temporal hemostasis in 70% of patients. It endoscopic hemostasis is ineffective in hemorrhage from ulcer or in recurrent hemorrhage it is recommended to perform urgent surgical interventions.

[Reoperations after closure of perforative gastroduodenal ulcer].

Results of surgical treatment of 271 patients with malady recurrence after perforative gastroduodenal ulcer closure were adduced. Resectional methods of treatment were conducted in 118 patients, vagotomy combined with the stomach draining procedure--in 106, in combination with ulcer extraduodenization and duodenoplasty--in 47. Conduction of organpreserving operation with ulcer extraduodenization and duodenoplasty must be supposed mostly rational.

[The diagnosis and treatment of a malignant stomach ulcer].

The results of treatment have been analyzed in 587 patients with stomach ulcer in 52 of whom ulcer was found to be malign. Methods of diagnosing of ulcer malignization are not reliable. Difficulties in differential histodiagnosis, absence of trustworthy diagnostic tests as well as advisability of additional mucus assays are underlined.

[The surgical treatment of malignant stomach ulcers].

The authors analyse the specific features of the clinical picture, diagnosis, pathomorphological changes and surgical treatment in 52 patients with gastric ulcer which underwent malignant degeneration. It is noted that malignancy occurs most frequently in close vicinity to the ulcerative defect and rarely in the mucosa beyond the ulcer. The morphostructural reorganizations are determined to a certain degree by the peculiarities of extension of the tumor along the mucosa and the organ as a whole.

[Early diagnosis and treatment of a pyloroduodenal ulcer complicated by stenosis of gastric outlet].

Treated were 193 patients with pyloroduodenal ulcer complicated by stenosis of gastric outlet. Compensated stenosis was noted in 14 (7.2%) patients, subcompensated--in 147 (76.