A5059814517- Esophageal and GI Pathology
- Esophageal Cancer Research and Treatment
- Gastric Cancer Management and Outcomes
- Tracheal and airway disorders
- Enhanced Recovery After Surgery
- Metastasis and carcinoma case studies
- Cardiac, Anesthesia and Surgical Outcomes
- Gastroesophageal reflux and treatments
- Congenital Diaphragmatic Hernia Studies
- Bariatric Surgery and Outcomes
- Clinical Nutrition and Gastroenterology
- Nutrition and Health in Aging
- Colorectal Cancer Surgical Treatments
- Coronary Interventions and Diagnostics
- Hemodynamic Monitoring and Therapy
- Ultrasound in Clinical Applications
- Digestive system and related health
- Surgical Simulation and Training
- Pneumothorax, Barotrauma, Emphysema
- Cardiac and Coronary Surgery Techniques
- Tissue Engineering and Regenerative Medicine
- Eosinophilic Esophagitis
- Intestinal Malrotation and Obstruction Disorders
- Economic and Financial Impacts of Cancer
- Gastrointestinal Tumor Research and Treatment
National Medical and Surgical Center named after N.I. Pirogov
2024-2025
National Medical Research Center of Cardiology
2019-2023
Institute of Surgery named after A. V. Vishnevskogo
2015-2022
Research Medical Center
2019
Ministry of Health of the Russian Federation
2016-2017
Aim : to present the results of an Expert Consensus on standardization indications for surgical treatment gastroesophageal reflux disease (GERD). Materials and methods . The issues GERD were discussed by 39 experts – leading gastroenterologists surgeons from 7 cities Russia, representing 17 institutions. list questions discussion was formed initiative group sent experts. reviewed recent literature, including existing clinical guidelines consensuses, assessed evidence base suggested...
Purpose of the study . To analyze long-term results from various strategies endovascular treatment for coronary artery disease (CAD) in patients concomitant with cancer. Patients and methods 74 both CAD cancer were treated A. V. Vishnevskiy National Medical Research Center Surgery 01/01/2018 to 12/31/2022. By a multidisciplinary council, divided into three groups: group 1 ( n = 39) – staged treatment: percutaneous intervention (PCI) is first stage, second surgical cancer; 2 14) stage was...
To prove the surgical safety and functional efficiency of jejunogastroplasty with duodenal passage preservation as an alternative method gastrointestinal tract reconstruction after gastrectomy.It was analyzed results treatment 60 patients who underwent gastrectomy for stomach cancer period from September 2009 to May 2013. Two congeneric groups by 30 Roux-en-Y (control group) (comparison were prospectively compared.Immediate did not significantly differ in both groups. Blood loss 528±61.0...
To analyze the effectiveness of vacuum-assisted closure system for esophageal anastomotic leakage.There were 10 patients with upper gastrointestinal leakage who treated at our institution in 2015-2018. Vacuum aspiration was applied all cases.Esophageal wall defect successfully closed 9 out after 2-4 courses and eliminated 11 days on average. Localized cavity granulation tissue developed 1 patient 5 also eliminated.Endoscopic therapy is an innovative, minimally invasive, economically...
Aortic valve stenosis and bleeding gastric cancer are formidable diseases characterized by high mortality. For a long time, the gold standard for treating patients with aortic has been open-heart surgery — replacement. However, endovascular operation that appeared in 2002 transcatheter implantation (TAVI) become of care surgical risk. Gastric is one major severe oncological which only way to cure. The combination these two significantly worsens prognosis difficult clinical task choosing...
Treatment for achalasia of cardia is multidirectional nowadays and depends on several factors such as patient’s sex age, type stage disease, co-morbidity complications. However the treatment end-stage still controversial. Ones who advocate organ preservation surgery consider esophagectomy an ultima ration. These authors conceive that too traumatic benign disease with low progression. Esophagectomy a first approach recommended by others believe progredient course (nonreversible strongly...
Objective. The compensation of digestive disorder in patients who already had gastric operation by using jejuno(colo)gastroplasty at re-reconstruction the tract.Methods. During 2012-17 Vishnevsky surgery institute 33 repeated were conducted on resection and antireflux operations. As a was jejunogastroplasty 31 (93,9%) cases, after distal gastrectomy - 8 (24,3%) from them; stump removal 7 (21,2%), еsophagojejuno anastomosis в 2 (6,1%). Also 3 (9,1%) operated interposition discharge loop into...
Aim: to substantiate the expediency of using a segment jejunum on vascular pedicle in esophagoplasty. Materials and methods. At National Medical Research Center Surgery named after A.V. Vishnevsky, 12 patients underwent esophagoplasty with combined visceral transplant, which 9 (75.0 %) received gastrointestinal graft 3 (25.0 — colon-jejunum one. Esophagectomy simultaneous esophageal plastic surgery was performed 10 (83.3 patients, 4 (40 them combination distal gastric resection. The...
To formulate the concept of physiological reconstruction digestive tract during redo gastric surgery.There were 52 patients who underwent surgery after previous resections, drainage and antireflux procedures in 2011-2017 at Vishnevsky National Research Surgical Center. Redo resection stomach with Billroth-1 Hofmeister reconstructions performed 5 (9.6%) 1 patient (1.9%), respectively. Roux-en-Y was 4 (7.7%) remnant extirpation. Jejunogastroplasty used 30 (57.7%) patients. A segment transverse...
Introduction. Despite increasing trends toward the early initiation of oral feeding after gastrointestinal surgeries, current evidence about patients esophagectomy (EE) with gastric tube reconstruction has not been convincing. The further research is needed. present clinical trial aimed to compare outcomes (EOF) late following EE conduit reconstruction. Objectives. To improve results treatment by choosing method nutritional support in postoperative period. Materials and methods. Forty...
To analyze the mechanisms of non-occlusive mesenteric ischemia (NOMI) after digestive tract surgery.NOMI occurred in 10 (0.4%) patients reconstructive surgery between 2015 and 2021. There were 4 women 6 men aged 29-92 years (67 [60; 71]). Patients differed from each other nature baseline disease surgical approach. All underwent standardized interventions. no intraoperative complications.Median time was 372.5 (246.25; 548.75) min, blood loss - 450 (200; 725) ml. These parameters conformed to...
The study of the immediate and long-term results surgical treatment diseases stomach, conducted by many authors, shows that a certain number patients have functional organic disorders not only reduce quality life patient, but can also cause disability or even death. It is considered one most important pathogenetic factors in development disease operated stomach way to restore gastroin-testinal continuity. A major role played elimination pylorus duodenal passage, which “is, - as Ivan...
The problem of unsuccessful (incomplete) esophagoplasty is still urgent nowadays. Simultaneous remains a method choice in reconstructive surgery the esophagus. However, case ischemic disorders transplant, its initially insufficient length, deficiency organs plastic reserve, completion seems to be technically complicated task, forcing surgeons perform multi-stage intervention techniques. These techniques are associated with longer treatment periods and deterioration quality life patients.The...
КРАТКИЕ СООБЩЕНИЯ ■Клиническое наблюдение посвящено успешной отсроченной реэзофагопластике тонкой кишкой.Пациент изначально перенес трансхиатальную эзофагогастрэктомию с одномоментной толстокишечной пластикой по поводу диффузного рака пищеводно-желудочного перехода Siewert III
Acute gastric necrosis is a rare event requiring organ resection. Delayed reconstruction advisable in patients with peritonitis and sepsis. The most common complication of gastrectomy failure esophagojejunostomy duodenal stump. In case severe failure, appropriate surgical approach timing reconstructive stage should be analyzed. We report one-stage surgery patient multiple fistulas after previous gastrectomy. Surgery included jejunogastroplasty jejunal graft interposition. underwent several...
The aim of the study was to present a clinical case generalized sarcoidosis without involvement lungs and intrathoracic lymph nodes.Materials methods. literature data observation, surgical treatment results autopsy patient with were analyzed.Results. In this study, authors draw attention lesions nodes, accounting for 5% in structure morbidity. A A., who hospitalized department Emergency Hospital, is presented. admitted suspicion urgent pathology extrapulmonary manifestations disease...