1. E. A. Vagner Perm State Medical University (614990, Perm, Russia)

Keywords: intestinal stones, thick and rectum, diagnosis, treatment

Abstract: The aim of the study was to study the issues of prevalence, etiopathogenesis, clinic, diagnosis and treatment of intestinal stone disease. Materials and methods. For 25 years, 25 patients (13 men, 12 women) with intestinal stones were observed. Patients of elderly and senile age prevailed (15 people). Enterolites had 5 patients, coprolites — 20. A total of 36 stones with a size of 2.5 to 22 cm were found in patients (26 concrements were 6 cm or more). For diagnosis, we used multi-detector computed tomography, fi bro colonoscopy, ultrasound, irrigography, and other methods. Results. Stones most often formed in the sigmoid and rectum. Chronic colonic stasis, congenital and acquired diseases of the intestine, the reception of indigestible and extraneous substances for the intestine (chalk, barium, magnesium and aluminum salts) played a leading role in the formation of intestinal stones. In 20 patients, stones caused complications, of which the most severe were perforation of the gut (in 3) and acute intestinal obstruction (in 7). The best method of diagnosis was multidetector CT. Improving the diagnosis and developed diff erentiated treatment tactics allowed to improve the results of treatment and achieve recovery in all 25 patients

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Full text is published :
Davidov M. I., Subbotin V. M., Nikonova O. E. Intestinal stones. Experimental and Clinical Gastroenterology. 2018;156(8): 50–54. DOI:10.31146/1682-8658-ecg-156-8-50-54
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1. E. A. Vagner Perm State Medical University (614990, Perm, Russia)
2. Department of Surgery № 2 with a course of Hematology and Blood Transfusion Faculty of additional professional education

Keywords: needle liver biopsy, liver cirrhosis, malignant neoplasms of the liver, liver cancer, chronic hepatitis, indications and contraindications

Abstract: The aim was to evaluate the results of applying ultrasound guided percutaneous liver biopsy in combination with the improvement of diagnostics of patients with focal liver diseases. Materials and Methods. An analysis of the results of targeted puncture liver biopsy of 466 patients with focal liver diseases for 2013–2017 was conducted. The eff ectiveness of the method was assessed by the sensitivity, presence and character of postoperative complications and mortality. Results. The use of needle liver biopsy has a high sensitivity (79.4%), diagnostic value and relative safety (postoperative complications — 1.5%, mortality 0.4%) with strict adherence to manipulation techniques and contraindications.

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Full text is published :
Zarivchatskiy M. F., Kamenskikh E. D., Mugatarov I. N. Experience of using needle biopsy in focal liver disease. Experimental and Clinical Gastroenterology. 2018;156(8): 55–58.
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1. E. A. Vagner Perm State Medical University (614990, Perm, Russia)
2. Perm Krai Clinical Hospital (Perm, Russia)

Keywords: esophageal cancer, esophagectomy, esophagojejumal bypass, esophagealstent

Abstract: The aim was to evaluate the eff ectiveness of esophagectomy and palliative operations for the treatment of locally advanced esophageal cancer. Methods and materials: 106 adolescent participants with locally advanced esophageal cancer and adenocarcinoma of cardioesophageal junction underwent esophagectomy and esophagojejumal bypass. Results. In 85 cases of locally advanced esophageal cancer T4 esophagectomy was combined with resection of pancreas, paraesophageal fat, pleura, diaphragm, omentum, transverse colon, aorta adventitia. Twenty fi ve patients with disseminated process and distant metastasis underwent esophagectomy and resection of solitary liver, lung, omentum metastasis. In 6 cases original esophagojejumal bypass was performed, using laparotomy and circular stapler. We consider, that this technique reduces surgical invasion in the management of locally advanced esophageal cancer. Endoscopic self-expanding esophagealstents were placed in 241 cases of advanced esophageal cancer. There were fi ve (2,1%) esophageal perforations. Postoperative morbidity after esophagectomy was 8,2% (7). Median survival rate increased from 4 to 12 months. Postoperative morbidity after esophagectomy and resection of solitary metastasis was 9,5% (2). Median survival rate increased from 3 to 7,5 months. Conclusion. We concluded that esophagectomy with resection of involved organs or metastasis in the management of advanced esophageal cancer T4a, M1 increased median survival rate.

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Full text is published :
Plaksin S. A., Artmeladze R. A., Sablin E. E. Results of resection and bypass surgery in advanced cancer of the esophagus. Experimental and Clinical Gastroenterology. 2018;156(8): 59–63.DOI: 10.31146/1682-8658-ecg-156-8-59-63
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