Charyshkin Alexei L.

The research goal was to estimate efficiency of medicine phosphogliv by the directed administration in complex therapy for patients with biliary pancreatitis and НСV- infection. 62 patients with biliary pancreatitis and НСV-infection were examined. These patients were divided into 2 comparable groups: control group I (50 persons) and basic group II (12 persons). In group I traditional basic therapy of biliary pancreatitis was carried out with injection of phosphogliv intravenously. Patients of group II were given erythrocytes intravenously with average therapeutic dose of phosphogliv. Introduction of medicines in autologous erythrocytes was performed by hypotonic lysis.
Effective influence of directed administration of preparation phosphogliv demonstrated decrease in level of bilirubin in blood, activity of AlAt, AsAt in patients of research group. Side-effects were not revealed.
In conclusion the investigation proved that more effective influence of phosphogliv on level of bilirubin in blood and activity of AlAt, AsAt can be reached in combination with traditional basic therapy.

468 patients aged 14 to 88 years underwent surgery concerning perforative ulcer os stomach and duodenum. 10 patients had symptoms of stenosis including 10 patients with penetration. It is demonstrated that incision of ulcer with duodenoplasty or pyloduodenoplasty permit to treat successfully perforative ulcers and to achieve good functional results.

Since 1998 to 2007 in the clinic of hospital surgery (based on surgical wards) of Ulianovsk State University the following types of surgical treatmentofpatients with cholelithic disease were carried out: more than 2000 laparoscopic cholecystectomies, 154 mini-laparotomies and 173 traditional laparatomies. Low-invasive surgical treatment of acute cholecystopancreatitis of patients over 60 years due to miniacess is advisable for persons with high degree of operationally anesthetic risk.