Erosive and ulcerative lesions of the gastrointestinal tract and bleeding in patients with critical lower limb ischemia and diabetes mellitus underwent endovascular interventions
| Autor: | Yu. A. Dyachkova, A. A. Chernovolenko, E. V. Kaplunova, Frolov Dv, A. M. Linchenko, A. A. Poliantsev, S. N. Karpenko |
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| Jazyk: | ruština |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
critical lower limb ischemia RD1-811 medicine.medical_treatment 030204 cardiovascular system & hematology Revascularization 03 medical and health sciences 0302 clinical medicine Angioplasty Diabetes mellitus medicine business.industry Stomach Type 2 Diabetes Mellitus General Medicine Vascular surgery medicine.disease Surgery medicine.anatomical_structure erosive and ulcerative gastroduodenal lesions Amputation gastrointestinal bleedings diabetes mellitus Duodenum 030211 gastroenterology & hepatology revascularization business |
| Zdroj: | Вестник хирургии имени И.И. Грекова, Vol 180, Iss 1, Pp 65-72 (2021) |
| ISSN: | 0042-4625 |
| Popis: | The objective was to study the prevalence of erosive and ulcerative gastroduodenal lesions, bleedings of this localization and the relationship with factors predisposing to them in patients with critical lower limb ischemia and type 2 diabetes mellitus who underwent endovascular intervention for limb revascularization.Methods and materials. The study included 81 patients aged 67.5±6.8 years, hospitalized in the department of vascular surgery with critical lower limb ischemia of atherosclerotic genesis and type 2 diabetes mellitus to perform revascularization by means of transluminal balloon angioplasty with stenting when indicated. In the preoperative period, all patients underwent fibrogastroduodenoscopy, according to the results of which a scoring assessment of the lesion of the gastric mucosa and duodenum was presented.Results. All patients participating in the study were diagnosed with pathology of the gastroduodenal zone: in 95.1 % of the inflammatory nature, in 4.9 % of the ulcer. The relationship between the duration of rest pain, the fact of damage to the mucous membrane of the upper gastrointestinal tract and its severity was not revealed, but the relationship of erosive and ulcerative lesions of the stomach and duodenum with the number of taken pain pills was determined. In patients with repeated endovascular intervention and / or amputation, gastrointestinal bleedings were more often recorded compared with study participants who underwent a single revascularization – 11.1 and 1.6 % of patients, respectively.Conclusion. Erosive and ulcerative lesions of varying severity are present in all patients with critical lower limb ischemia on the background of diabetes mellitus. At the same time, patients with repeated endovascular interventions and / or amputations are more susceptible to bleeding. For the prevention of pathology of the stomach and duodenum, an in-depth diagnosis and a differentiated approach are required. |
| Databáze: | OpenAIRE |
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