Lumen

Conclusion

1. In patients with initial low pressure in the NPC incomplete Toupet fundoplication in the modification does not create a reliable antireflux mechanism is the cause of disease recurrence and reduced quality of life in the postoperative period 20% of patients.

2. After the operation, with the formation of an artificial pump station in the area of esophageal-gastric junction is formed by high-pressure zone, and the relaxation of the cardia is reduced slightly, which is the prevention of dysphagia.
3. In patients with symptomatic disease zamykatelnoy function of the cardia substantially reduced as gastrointestinal index and indicators of quality of life for all categories. Noted positive changes in quality of life after surgical treatment of patients, as well as extend the life of early surgical intervention.

Effective control of burn brand viagra online shock and its effects in patients with severe burn injury reduces the risk dysproteinemia and intoxication, leading to trophic disorders gastrointestinal wall [34]. Ensuring adequate organ perfusion is vital for the prevention of bleeding [40]. Active support of hemodynamic parameters helps to restore adequate blood flow in the mucosa [46].

All patients with signs of bleeding into the lumen of the digestive generic viagra tract was also demonstrated hemostatic therapy, including well-known means of general and local effects on the source of bleeding. Control over the degree of hemorrhage and hemostasis are hemodynamic parameters, hemoglobin in peripheral blood, and the nature and amount of discharge by nasogastric tube. An invaluable role in this is also a dynamic endoscopy [7, 12, 30].

Method of choice for direct stopping erosive ulcer bleeding in endoscopic hemostasis is fired, which gives a good result in more than 90% of cases [5, 6, 8]. Endoscopic brand name levitra hemostasis was performed by electrocoagulation, diathermal, laser photocoagulation of bleeding erosions and ulcers, injection therapy using different materials [4, 8, 20, 21, 42, 46].

According to D. Klein et al. [29], with profuse bleeding from a deep ulcer in a patient with a burn of 70% body surface marked by a good result after embolization of the left gastric artery. By selective catheterization of the left gastric artery can be made prolonged (48-72 hours) infusion of vasopressin or embolization with use of the drug Gelfoam, charcoal or autologous cialis without prescription blood clot. But the use of different variants of angiographic techniques is often unsuccessful because of the rich submucosal network of blood vessels and pronounced collateral circulation in the gastric wall [46].

Surgical intervention may become necessary in situations where conservative treatment fails, and blood loss continues. Transactions in such observations are taken to generic levitra stop bleeding, reduce the likelihood of re-bleeding, reduce mortality rates. The operated patients are at extreme risk zone, so the best is the most fast operation [21, 46]. In life-threatening bleeding, not amenable to endoscopic control, you may need gastrectomy with vagotomy with or without [6, 8, 12, 21, 46].

The question of surgical treatment of burned with erosive ulcer bleeding is finally withdrawn after the disclosure of all the mechanisms of the pathogenesis of acute erosions and ulcers of the upper GI, which will effectively prevent these serious complications [5, 6].

mysterious and indispensable
autoimune syndrome
individual symptoms
during meals