Vadim Trofimov

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As shown by a 10-year follow-up of 187 patients operated on for uncomplicated duodenal ulcer, recurrent disease develops in 28.4% and 1.1% of cases following vagotomy and gastric resection, respectively. Positive response (group I and II according to Visick's scale) was reported in 48.9% of those subjected to gastric resection and in 45.3% of postvagotomy(More)
Measurements of the daily fluctuations in the sugar blood levels, fasting test, the double glucose tolerance test, and measurements of the blood insulin and C peptide levels were carried out in 13 patients with organic hyperinsulinism prior to insulinoma removal and in the immediate and late periods after it. The double glucose tolerance test was for the(More)
The authors analyzed the results of examination of 69 patients operated on for Itsenko-Cushing's syndrome (ICS); in 32 cases tumours of the adrenal cortex were revealed during the operation. Two histological forms of adenoma of the adrenal cortex were distinguished, i.e. adenomas of mono- and polymorphous structure. Increased background urinary excretion of(More)
On the basis of the surgical treatment of 199 patients with different pathological conditions frequently followed by the development of arterial hypertension of the adrenal origin the authors describe specific features and problems of diagnosis of this kind of symptomatic hypertension. All these features and diagnostic problems should be taken into(More)
Main pathogenic factors of postvagotomy diarrhea are considered. Among them are: rapid emptying of the stomach due to the draining operation and accelerated passage of chyme along the small intestine, development of a relative insufficiency of digestion and absorption, entrance of the hyperosmolar content into the colon. Diarrhea appears more often after(More)