Surgical diagnosis of gastric lesions

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Abstract

Methods for studying the stomach in transmitted light throughout the operation have been developed: reverse transillumination fibrogastroscopy, targeted forward and reverse transillumination angiography, and pigmentary injection transillumination angiography. The studies were carried out during the operation and on removed preparations. Of the 464 operated patients, 346 had stomach cancer, 45 had peptic ulcer disease, 43 had polyps, and 30 had non-epithelial tumors. Features of angioarchitectonics of the stomach are important for the recognition of initial lesions - erosions, ulcers, polyps.

About the authors

A. S. Abdullin

Kazan State Institute for Advanced Training of Doctors named after V.I. Lenin; Kazan Order of the Red Banner of Labor Medical Institute named after S. V. Kurashova

Author for correspondence.
Email: info@eco-vector.com

Department of Oncology, Oncology Course, Head - Assoc.

Russian Federation, Kazan

References

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2. Fig. 1- 2. Pictures taken with fibrogastroscopy during surgery: a - polyps, reflected light view; b - the same in transmitted light - the endoscope illuminator is turned off, the light flux is directed to the stomach wall from the outside.

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3. Fig. 3. Multiple micropolyposis of the stomach. Reverse transillumination image.

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4. Fig. 4. Multiple erosion of the stomach in transmitted light. Examination from the side of the mucous membrane.

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5. Fig. 5. Express transillumination angiography of the split stomach preparation - the mucous-submucosal layer: a - the luminous flux is directed from the side of the mucous membrane; b-y-the same, the luminous flux from the submucous layer.

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6. Fig. 6. Transillumination direct lymphography of the stomach preparation. Interstitial injection of 1% methylene blue solution. The lymphatic vessels surrounding the gastric fields are visible

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7. Fig. 7. Pigment transillumination intraorgan operational angiography. View from the side of the serous membrane.

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8. Fig. 8. Reverse transillumination angiography on the specimen. The gastric fields and vessels of the submucosal layer are clearly visible.

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9. Fig. 9. Relief of the mucous membrane with an ulcer: a - view in reflected light, b - with reverse transillumination.

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10. Fig. 10. Gastric fields in cancer.

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