Saratov JOURNAL of Medical and Scientific Research

Belikov A.V.

Saratov State Medical University n.a. V I. Razumovsky, Department of General Surgery, Assistant

Modern issues on the treatment of peptic ulcer bleedings

Year: 2014, volume 10 Issue: №1 Pages: 132-138
Heading: Surgery Article type: Review
Authors: Potakhin S.N., Shapkin Y.G., Klimashevich V.Y., Belikov A.V., Zevyakina V.A.
Organization: Saratov State Medical University

Despite the success of therapeutic treatment of peptic ulcer and the introduction of endoscopic technologies, the problem of peptic ulcer hemorrhage remains valid. A large number of publications in foreign literature are dedicated to epidemiology and prevention of bleeding, evaluation of modern tactics and search for new methods of treatment. The works relating to organization of aid to patients with peptic ulcer bleeding are of particular interest. According to the recent data not all clinics even in economically developed countries manage to follow the recommendations of an international consensus-2010 for non-variceal bleeding treatment of upper gastrointestinal tract. Among the causes of non-compliance of international recommendations there are subjective and objective factors, the understanding of which can significantly affect the optimization of aid to patients with peptic ulcer bleeding.

2014_01_132-138.pdf242.52 KB

General surgery in higher medical schools: innovative teaching methods

Year: 2011, volume 7 Issue: №4 Pages: 992-993
Heading: Pedagogics and Education Article type: Author's opinion
Authors: Shapkin Y.G., Kapralov S.V., Khilgiyaev R.H., Belikov A.M., Horoshkevich A.V.
Organization: Saratov State Medical University

Educational programmes and computer tests are important in teaching of general surgery. Application of modern computer and Internet technologies in the educational process improves quality of training

201104_992-993.pdf233.79 KB

Monitoring of gastric secretion and early diagnostics of gastroduodenal ulcerative bleeding recurrences

Year: 2011, volume 7 Issue: №4 Pages: 957-962
Heading: Surgery Article type: Original article
Authors: Potakhin S.N., Shapkin Yu.G., Reshetov P.V., Kapralov S.V., Klimashevich V.Yu., Belikov A.V.
Organization: Saratov State Medical University

The research goal is to develop a universal method of monitoring of intragastric medium dynamics. It allows diagnosing of bleeding recurrences and monitoring the effectiveness of gastric secretion suppression. In Saratov clinic of General Surgery use of probe-detector, dynamic endoscopy, laser Doppler flowmetry and methods of endoscopic hemostasis has reduced mortality: postoperative mortality has been decreased from 7,4 to 1,6%, while the general mortality — from 3,5 to 1,5%. The proposed devices can be used separately, and do not allow parallel assessment of pH of gastric juice, the microcirculation in the stomach wall and bleeding recurrences. 47 patients have been under the study. The changes in electroconductivity of intragastric medium have been proved in the suppression of intragastric secretion and the appearance of blood in gastric lumen. The received data have considered impedancemetry as the method of monitoring of intragastric medium in gastroduodenal bleedings

201104_957-962.pdf929.6 KB