title: [Choice of methods of surgical treatment and postoperative period management in patients with duodenal ulcer complicated by hemorrhage during continuous influence of small radiation dosage].
abstract: Results of surgical treatment of duodenal ulcer, complicated by hemorrhage, in patients, who were exposed to the small doses of radiation influence, are unsatisfactory. General, local immunity were studied up, pH-metry of gastroduodenal zone was conducted, activity of Helicobacter pylori (HP) urease was determined in patients with duodenal ulcer, complicated by hemorrhage, who have been exposed for a long time to the small doses of radiation influence and who were not. In patients, who have been exposed to radiation influence, reduction of secretory immunoglobulin A (sIgA) in duodenal mucus was revealed. Conduction of the local immunity changes correction, performing organpreserving surgical intervention and using immunocorrecting therapy after the operation, are recommended for improvement of the surgical treatment results.
authors.forename: V M
authors.initials: VM
authors.lastname: Borshchivskyĭ
mesh_terms: D000328:Adult; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004381:Duodenal Ulcer / Q000150:complications / Q000532:radiotherapy / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology*; D011829:Radiation Dosage; D012189:Retrospective Studies; D016896:Treatment Outcome
vernacular_title: Vybir metodu khirurhichnoho likuvannia ta vedennia pisliaoperatsiĭnoho periodu u patsiientiv z vyrazkoiu dvanadtsiatypaloï kyshky, uskladnenoiu krovotecheiu v umovakh tryvaloho vplyvu malykh doz radiatsiï.