ABSTRACT
Demonstrated in the article are the results of catheter-directed thrombolysis in a male patient presenting with bilateral acute iliofemoral venous thrombosis on the background of aplasia of the inferior vena cava. The incidence rate of this pathology is specified, with an emphasis on no recommendations on choosing optimal therapeutic strategy in this cohort of patients. The main causes and complications of the disease are described. The realized policy of revascularization demonstrated its safety and efficacy. The chosen method of correction resulted in a successful outcome of treatment, preventing phlegmasia cerulea dolens. This policy can be recommended as most preferred for patients with acute iliofemoral venous thrombosis on the background of aplasia of the inferior venal cava.
Subject(s)
Vena Cava, Inferior , Venous Thrombosis , Catheters , Humans , Iliac Vein/diagnostic imaging , Male , Thrombolytic Therapy , Treatment Outcome , Vena Cava, Inferior/diagnostic imaging , Venous Thrombosis/diagnosis , Venous Thrombosis/drug therapyABSTRACT
Effectiveness of endoscopic haemostatic methods for acute esophagogastric bleedings of portal genesis was analyzed. Under study there were indices of survival and mean life span of 157 patients divided into two groups: main and of comparison. Considerable improvement was established in indices of survival and mean life span in patients of the main group, where haemostatic methods were used for hemostasis. The patients of the main group had higher level of quality of life in long-term periods of follow-up, longer kept ability to work, physical activity and self-service.
Subject(s)
Endoscopy, Gastrointestinal/methods , Esophageal and Gastric Varices/surgery , Gastrointestinal Hemorrhage/surgery , Hemostasis, Endoscopic/methods , Hypertension, Portal/complications , Quality of Life , Esophageal and Gastric Varices/etiology , Esophageal and Gastric Varices/psychology , Follow-Up Studies , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/psychology , Humans , Hypertension, Portal/psychology , Postoperative Period , Retrospective Studies , Time Factors , Treatment OutcomeABSTRACT
The work is devoted to objectivization of the diagnostics and control of treatment of paresis of the gastrointestinal tract in diffuse peritonitis. The method of selective electrogastroenterocolonography after digitization of the data makes it possible to characterize the functioning of the gastrointestinal tract in figures which can be compared with quantitative characteristics of endogenous intoxication. So the direct relation between the degree of the gastrointestinal tract paresis and endogenous intoxication was proved. The method of selective electrogastroenterocolonography allowed an objective control of the treatment using sorption technologies, low amplitude electrostimulation and parenteral feeding with Dipeptiven. Its success was proved by a less number of complications (from 45% to 27%) and less lethality (from 21.2% to 16.6%).
Subject(s)
Electric Stimulation Therapy/methods , Gastrointestinal Diseases/diagnosis , Gastrointestinal Motility , Laparoscopy/methods , Parenteral Nutrition/methods , Peritonitis/complications , Sorption Detoxification/methods , Adult , Aged , Aged, 80 and over , Diagnosis, Differential , Dipeptides/therapeutic use , Follow-Up Studies , Gastrointestinal Diseases/etiology , Gastrointestinal Diseases/therapy , Humans , Middle Aged , Peritonitis/diagnosis , Severity of Illness Index , Treatment OutcomeABSTRACT
Two leading moments in endotoxicosis of acute pancreatitis pancreatogenic and enterocologenic should be emphasized. A new noninvasive method is proposed for objective determination of the degree of enteroparesis in patients with acute pancreatitis. A conversion of the gastroenterocolonogram curves into digital parameters gave quantitative data which help to reveal the form of acute pancreatitis. the degree of endogenous intoxication and shows the course of the treatment.
