Laboratory criteria of the effectiveness of sanitization of cardiac chambers during the surgical treatment of infectious endocarditis

Out of 26 patients operated for infectious endocarditis 6 are reported to have a recurrencies. Laboratory investigations show the efficiency of sanitation of the heart chambers and facilitate early diagnosis of recidivations.     

Annular pancreas

Brief clinico-rentgenological characteristics of annular pancreas are described on the basis of 5 personal clinical observations and literature data. Recommendations for choosing the optimal surgical procedures are given. Collateral anastomoses are thought to be expedient in combination with vagotomy or without them.     

Differential treatment of gastroduodenal ulcerous bleedings

Results of treatment of 827 patients with bleedings from chronic gastric and duodenal ulcers are analyzed. Potentialities of various methods of endoscopic hemostasis were studied. Diathermocoagulation was the least effective method of hemostasis (59%). Irrigation of the bleeding source provided hemostasis in 88.7% patients, combined methods - in 94.1%. Methods of irrigation are appropriate in diffuse bleeding from ulcer (Forrest 1B). Stream bleeding (Forrest 1A) is indication for combined methods of hemostasis. It is demonstrated that type of endoscopic procedure does not influence rate of bleeding recurrences. The main element of conservative treatment of gastroduodenal ulcerous bleedings is antisecretory therapy. Proton pump blockers are more effective than H2-blockers; the rate of recurrences was 5.0 and 28.9%, respectively. Prediction of bleeding recurrences and preventive operations are the main way to treatment results improvement.