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Peculiarities of Diagnostics of Gastrointestinal Bleeding in Patients with Acute Infectious Diseases
- Authors: Zemlyanoy V.P.1, Nakhumov M.M.1, Tretyakov D.V.1
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Affiliations:
- Federal State educational institution of higher education budget Northwestern State Medical University named after I.I. Mechnikov
- Issue: Vol 10, No 3 (2017)
- Pages: 178-186
- Section: Original articles
- URL: https://vestnik-surgery.com/journal/article/view/1102
- DOI: https://doi.org/10.18499/2070-478X-2017-10-3-178-186
- ID: 1102
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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.
About the authors
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
M.D. Professor, head of the Department of faculty surgery of I.I. Grekova and Dean of the Faculty of surgery
Russian Federation, 41 Kirochnaya str., Saint Petersburg, 191015, Russian FederationMikhail 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
Ph.D., docent, Department of faculty surgery of I.I. Grekov
Russian Federation, 41 Kirochnaya str., Saint Petersburg, 191015, Russian FederationDmitriy Valerievich Tretyakov
Federal State educational institution of higher education budget Northwestern State Medical University named after I.I. Mechnikov
Email: mikhail.nakhumov@szgmu.ru
post-graduate of the Department of faculty surgery of I.I. Grekov
Russian Federation, 41 Kirochnaya str., Saint Petersburg, 191015, Russian FederationReferences
- Bisenkov L.N., Trofimov V.M. Gospital'naia khirurgiia [hospital surgery] SPb. 2005; 896. (in Russ.)
- N.P.Volodchenko, E.G.Novolodskii, A.V.Rogovchenko. Diagnostika i lechenie zheludochno-kishechnykh krovotechenii [Diagnosis and treatment of gastrointestinal bleeding] Amur medical journal. 2014; 4: 8: 18-20. (in Russ.)
- E.F.Cherednikov. Diagnostika i lechenie bol'nykh s gastroduodenal'nym krovotecheniem v spetsializirovannom tsentre: metodicheskoe posobie [Diagnosis and treatment of patients with gastroduodenal bleeding in a specialized centre: a methodological guide] Voronezh, Oskol typography. 2014; 33. (in Russ.)
- E.A.Kozhukhova, N.V.Andreeva, T.V.Beliaeva. Ostrye kishechnye infektsii s letal'nym iskhodom u vzroslykh bol'nykh v Sankt-
- Peterburge: dinamika etiologicheskoi struktury i kharakteristika techeniia [Acute intestinal infection with fatal outcome in adult patients in Saint-Petersburg: dynamics of the etiological structure and characteristics of the course] Scientific notes state medical University them. Academician I. P. Pavlov. 2015; XXII: 2: 28-31. (in Russ.)
- N.A.Maistrenko, K.N.Movchan, V.G.Volkov. Neotlozhnaia abdominal'naia khirurgiia: praktikum [Emergency abdominal surgery: a workshop] SPb: Piter. 2002; 304. (in Russ.)
- A.I.Vorob'ev. Spravochnik prakticheskogo vracha [Directory of practitioners] M.: Medicine. 1981; 656. (in Russ.)
- Iu.M. Stepanov, V.I. Zalevskii, A.V. Kosinskii. Zheludochnokishechnye krovotecheniia [Gastrointestinal bleeding]
- Dnepropetrovsk: Lira. 2011; 232. (in Russ.)
- D.V.Cherdantsev, A.A.Pozdniakov, P.S.Zhegalov. Neutochnennye zheludochno-kishechnye krovotecheniia v koloproktologicheskom statsionare [Unspecified gastrointestinal bleeding in coloproctological hospital] Coloproctology. 2015; 1: 51: 131-132. (in Russ.)
- B. I. Shakurov, Iu. R. Malikov, O. I. Shelaev. Endoskopiia v profilaktike i lechenii retsidiva iazvennogo krovotecheniia [Endoscopy in the prevention and treatment of recurrent ulcer bleeding] Bulletin of surgical gastroenterology. 2006; 1: 71. (in Russ.)
- M.A.Fallah, C.Prakash, S.Edmundowicz. Acute gastrointestinal bleeding. Med. Clin. North Am. 2000; 84: 5:1183–1208.
- I.L.Holster, E.J.Kuipers. Management of acute nonvariceal upper gastrointestinal bleeding: current policies and future perspectives. Gastroenterol. 2012; 18: 11: 1202–1207.
- V.E.Valkhoff, M.C,Sturkenboom, E.J.Kuipers. Risk factors for
- gastrointestinal bleeding associated with low-dose aspirin. Best Pract. Res. Clin. Gastroenterol. 2012; 26: 2: 125–140.
- K.D.Fine, A.C.Nelson, R.T.Ellington, A.Mossburg. Сomparison of the color of fecal blood with the anatomical location of gastrointestinal bleeding lesions: potential misdiagnosis using only flexible sigmoidoscopy for bright red blood per rectum. The American Journal of Gastroenterology. 1999; 94: 11: 3202-3210.
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