[Clinical-functional and morphological changes in the large intestine in patients with chronic abdominal ischemia]
Insights
This study investigates clinical variants of ischemic lesions of the large intestine (ILLI) in chronic abdominal ischemia (CAI) patients. Findings show ILLI severity ranges from reversible functional issues to severe organic damage, with distinct clinical and morphological features.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Pathology
Context:
- Chronic abdominal ischemia (CAI) affects visceral blood flow.
- Cardiovascular pathology frequently underlies CAI.
- Ischemic lesions of the large intestine (ILLI) are a significant complication.
Purpose:
- To study clinical variants of ischemic lesions of the large intestine (ILLI).
- To analyze patients with chronic abdominal ischemia (CAI) and cardiovascular pathology.
- To differentiate ILLI from other large intestine diseases.
Summary:
- Examined 42 patients with suspected ILLI and cardiovascular issues causing hemodynamic disorders.
- Utilized comprehensive diagnostics including clinical, laboratory, and morphological assessments.
- Identified a spectrum of ILLI outcomes, from functional disturbances to severe organic damage, each with unique characteristics.
Impact:
- Highlights the diverse clinical presentations and pathological changes in ILLI.
- Emphasizes the importance of detailed diagnostics for accurate ILLI diagnosis.
- Provides insights into the relationship between ischemia severity and large intestine damage.
Abstract:
The article presents a study of clinical variants of ischemic lesions of the large intestine (ILLI) in patients with the chronic abdominal ischemia (CAI) syndrome. There was an examination of 42 patients with putative ILLI, who had a cardiovascular pathology at the background, which led to significant hemodynamic disorders of the blood flow in unpaired visceral branches of the abdominal aorta. The authors performed a complex diagnostics of ILLI including anamnestic and clinical data, laboratory and morphological assessment of the large intestine and vessels providing its blood supply. Based on the data collected, other functional and organic diseases of the large intestine (LI) were excluded. It was revealed that the final result of ILLI differed depending on the ischemia degree--from reversible functional disorders to high-grade organic lesions of the LI. Each clinical variant of ILLI has its own clinical manifestations as well as functional, organic and morphological peculiarities of changes in the LI revealed by a laboratory and histological examination of the LI.
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