Peculiarities of Diagnostics of Gastrointestinal Bleeding in Patients with Acute Infectious Diseases

Abstract


Relevance. Diagnosis of gastrointestinal bleeding in patients with infectious diseases is difficult and has a number of features.

Aim. To analyze the peculiarities of diagnostic gastrointestinal bleeding in patients with acute infectious diseases to improve diagnostic results.

Materials and methods. The data were used in medical records of 58 patients with confirmed infection, 48 patients with unconfirmed infectious disease brought in infectious hospitals in St. Petersburg from 2002 to 2014 years who have diagnosed gastrointestinal bleeding. Depending on the level of gastrointestinal bleeding (upper or lower gastrointestinal tract divisions), complaints are analyzed, objective clinical data, information of various symptoms, sensitive instrumental and laboratory studies. The results of the study compared with the control group – 49 patients with confirmed gastrointestinal bleeding without infection, surgical wards had been treated in city hospitals.

Conclusions. Due to represented data the following concluded the limited effectiveness of clinical and laboratory methods for diagnosis of gastrointestinal bleeding in patients with infectious diseases and the need for greater use of objective such as rectal digital research and sensing stomach sensitivity comparable with endoscopic techniques.


Vyacheslav Petrovich Zemlyanoy

Federal State educational institution of higher education budget Northwestern State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: mikhail.nakhumov@szgmu.ru

Russian Federation, 41 Kirochnaya str., Saint Petersburg, 191015, Russian Federation

M.D. Professor, head of the Department of faculty surgery of I.I. Grekova and Dean of the Faculty of surgery

Mikhail Mikhajlovich Nakhumov

Federal State educational institution of higher education budget Northwestern State Medical University named after I.I. Mechnikov

Email: mikhail.nakhumov@szgmu.ru
ORCID iD: 0000-0001-7659-9900
SPIN-code: 2097-0906

Russian Federation, 41 Kirochnaya str., Saint Petersburg, 191015, Russian Federation

Ph.D., docent, Department of faculty surgery of I.I. Grekov

Dmitriy Valerievich Tretyakov

Federal State educational institution of higher education budget Northwestern State Medical University named after I.I. Mechnikov

Email: mikhail.nakhumov@szgmu.ru

Russian Federation, 41 Kirochnaya str., Saint Petersburg, 191015, Russian Federation

post-graduate of the Department of faculty surgery of I.I. Grekov

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