Endoscopic ultrasonography in diagnosis of chemical esophageal burn and prediction of cicatricial stenosis.

Objective: To analyze the role of endoscopic ultrasonography (EUS) in predicting the risk of cicatricial stenosis after chemical esophageal burn.

Material And Methods: A retrospective study included 56 patients with chemical esophageal burn grade III/IV. Primary endoscopy was performed upon admission.

[Eversion endarterectomy from common femoral artery bifurcation].

Common femoral artery (CFA) bifurcation is a critical arterial segment of the lower extremities. Dos Santos J.C.

[Non-standard long-term tracheal stenting with silicone endoprosthesis for cicatricial stenosis].

Endoscopic approach with recanalization and stenting is one of the methods for cicatricial tracheal stenosis. Major complications may occur if service life of stents is not observed. However, there are currently no clear timing for stenting.

Minimally invasive interventions for complications associated with intra-abdominal calculi after laparoscopic cholecystectomy.

Objective: To study the possibilities of minimally invasive methods for removing intra-abdominal calculi after laparoscopic cholecystectomy.

Material And Methods: There were 5 patients with abdominal abscesses associated with infected calculi after previous laparoscopic cholecystectomy at the Sklifosovsky Research Institute for Emergency Care between 2020 and 2023. Mean age of patients was 55±12 years.

[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.

[Cerebral persistent primitive arteries. Clinical case of combination with intracranial aneurysm and review of the literature].

Cerebral persistent primitive arteries are uncommon and associated with cerebrovascular diseases, like cerebral aneurysms. They can cause vertebrobasilar ischemia and neuropathy of the cranial nerves. The authors present a patient with trigeminal artery associated with giant partially thrombosed cavernous internal cerebral artery aneurysm.

[Bilateral stenting for malignant tracheal and bronchial stenosis].

Malignant lesions of tracheal bifurcation usually lead to respiratory failure and risk of mortality. Airway stenting is the only minimally invasive method for these patients. The authors present a patient with T4N3M0 left-sided lung cancer (inoperable stage IIIc) complicated by respiratory failure due to tracheal bifurcation obstruction.

[Russian study on brain aneurysm surgery: a continuation (RIHA II)].

Objective: To assess the main performance indicators of neurosurgical departments in surgical treatment of cerebral aneurysms in the Russian Federation.

Material And Methods: We analyzed 22 neurosurgical departments (19 regional and 3 federal hospitals) in 2017 and 2021. The study enrolled 6.

Endoscopic stenting for malignant pancreatobiliary strictures.

Objective: To improve the outcomes in patients with malignant obstructive jaundice using intraluminal stenting.

Material And Methods: The present study included 62 patients with clinical symptoms of malignant obstructive jaundice. In the main group, we performed biliary stenting with self-expanding multi-perforated stents (Hanarostent Multi-hole Biliary).

[Endoscopic vacuum therapy in minimally invasive treatment of esophageal perforations].

Objective: To compare the results of endoscopic vacuum therapy (EVT) and open surgery for esophageal perforations.

Material And Methods: The study included 60 patients with esophageal perforations between 2010 and 2022. The main group included 29 patients who underwent minimally invasive treatment with EVT, the control group - 31 patients after open surgical interventions.

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.

[Risk factors for de novo generalized tonic-clonic seizures in patients with supratentorial meningiomas after neurosurgical treatment].

Objective: To identify risk factors for epileptic seizures in the early postoperative period in patients with supratentorial meningiomas.

Material And Methods: A retrospective case-control study was conducted in a ratio of 3 to 1. The case histories of all patients with supratentorial meningiomas that met the inclusion and exclusion criteria, who underwent surgical removal of the neoplasm in 01.

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.

Recovery of spinal cord functions after experimental complete crossection under the effect of chitosan polymeric compounds.

Unlabelled: Currently, there is no effective method of treating complete spinal cord intersection. One of the promising experimental approaches is substances promoting repair and fusion of axonal membranes.

Objective: To study clinical and functional recovery in experimental animals with transected spinal cord after management with photo-cross-linked chitosan in a homogeneous mixture with polyethylene glycol.

[Indocyanine green in liver transplantation].

The purpose of this study was to evaluate the first own experience of using indocyanine green (ICG) in liver transplantation compared to literature data and to determine its potential for clinical practice. Liver transplantation is an effective option for patients with end-stage disease, but this procedure is associated with many problems such as graft rejection, graft dysfunction, surgical risk and postoperative management. Modern methods for assessing graft function have their limitations, so a more efficient method is needed.

Endoscopic intraluminal treatment of early biliary complications after orthotopic liver transplantation.

Objective: To improve the outcomes after orthotopic liver transplantation (OLT) followed by early biliary complications via endoscopic bilioduodenal stenting.

Material And Methods: The study enrolled 41 patients with early biliary complications within 90 days after OLT. All patients underwent endoscopic treatment between 2001 and 2021.

The role of endosonography in the treatment of chemical ulcerative-necrotic burns of the esophagus.

The authors present ultrasonography-assisted endoscopic diagnosis of chemical burn of the esophagus. This method early predicted decompensated cicatricial stenosis of the esophagus that was valuable to determine treatment strategy. Preventive mini-invasive endoscopic percutaneous gastrostomy provided adequate enteral nutrition in a patient with decompensated esophageal stenosis before reconstructive surgery.

Outcomes of lumbar decompression microsurgery.

Background: Microsurgical decompression of the spinal root in patients with herniated intervertebral discs is the most common spinal surgery. However, most national and foreign studies devoted to assessment of postoperative outcomes contain no consensus on the timing of radicular pain syndrome relief after decompression and predictors of unfavorable outcomes.

Objective: To determine the period of radicular pain syndrome relief after microsurgical decompression and to identify clinical and neuroimaging predictors of unfavorable postoperative outcomes.

[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.

[Serum creatine phosphokinase as a predictor of upper limb amputation in electrical trauma].

Objective: To study the relationship between serum creatine phosphokinase and outcomes of injury in victims with electrical burns.

Material And Methods: Among 40 patients with electrical injury, 7 (18%) ones underwent upper limb amputation. There were 37 (92.

[Intraluminal endoscopy for biliary duodenal obstruction].

Cholelithiasis complicated by cholecystoduodenal fistula and small bowel biliary obstruction is an absolute indication for surgical treatment. Modern possibilities of intraluminal endoscopy (electrohydraulic lithotripsy) made it possible to avoid intra-abdominal access (laparotomy, laparoscopy) and postoperative complications. Finally, rapid rehabilitation was noted.

[Post-intubation rupture of thoracic trachea in a patient with iatrogenic esophageal perforation and mediastinitis].

Iatrogenic injuries of the esophagus and trachea are rare. However, these are life-threatening events due to severe complications. The authors report iatrogenic perforation of cervical esophagus with a long false passage in posterior mediastinum in an 83-year-old patient undergoing endoscopic retrograde cholangiopancreatography for choledocholithiasis.

Anatomical basis for pancreas transplantation isolated splenic artery perfusion: A literature review.

The variability of vascular anatomy of the pancreas underlines the difficulty of its transplantation. Research regarding the consistency of anatomical variations shows splenic arterial dominance in most cases. This can significantly improve transplantation success.

Intraluminal endoscopy in diagnosis and treatment of fluid collections in acute pancreatitis.

Objective: To improve treatment outcomes in patients with acute pancreatitis through a differentiated approach to transluminal drainage.

Material And Methods: There were 1074 patients with acute pancreatitis between January 2018 and December 2021 at the Sklifosovsky Research Institute for Emergency Care. EUS was used as a final diagnostic method to determine localization, dimensions, shape and contours of fluid collections.