Aim was to study the prevalence of gastrointestinal tract pathology and the state of intestinal biocenosis among bronchial asthma patients.Materials and methods: 93 patients with asthma in the exacerbation stage who had diseases of the gastrointestinal tract were examined. Instrumental, immunological, bacterial studies of the respiratory and digestive organs were carried out.The results of our study indicate a relationship between the development of bronchial asthma and gastrointestinal pathology due to negative environmental effects, stress, glucocorticosteroid therapy, changes in general and local protective reactions against a background of a chronic disease involving organ barriers with an autoimmune pathogenesis mechanism in the pathological process.
Fecalitis are one of the key factors of inflammation of the diverticular mucosa and the complications in diverticular disease of the colon. AIM. To study the results of endoscopic treatment with removal of fecalitis in diverticular disease complicated by chronic diverticulitis. Materials and methods. Between 2015 and 2019, the study included 87 patients with chronic recurrent diverticulitis. All patients received the same conservative treatment, and the main group (42 patients) underwent endoscopic rehabilitation of diverticulae. Evaluation of results of endoscopic scale (Mayo), histological scale (Reilly) and laboratory tests (fecal calprotectin) activity of the severity of inflammation of the mucous membrane of the colon showed significantly relief of inflammatory activity in the mucosa of diverticula, which contributed to a more rapid recovery of patients and reducing the frequency of relapses.
A clinical case of sphenoid sinus fungal ball was presented and interested for non-typical computer tomography imaging features, resulting in the patient was threatening from nonspecific sphenoid sinusitis throughout the year. A long persisted fungal ball became malignant. The imaging data of sphenoid sinus fungal ball in the onset and manifestation of the disease was analyzed. By presentation of the clinical case the importance of analyzing sinus bone wall remodeling by means of computer tomography and using of magnetic resonance imaging in a case of a timely fashion diagnosis of sphenoid fungal ball was shown.
Aim was to study the prevalence of gastrointestinal tract pathology and the state of intestinal biocenosis among bronchial asthma patients. Materials and methods: 93 patients with asthma in the exacerbation stage who had diseases of the gastrointestinal tract were examined. Instrumental, immunological, bacterial studies of the respiratory and digestive organs were carried out. The results of our study indicate a relationship between the development of bronchial asthma and gastrointestinal pathology due to negative environmental effects, stress, glucocorticosteroid therapy, changes in general and local protective reactions against a background of a chronic disease involving organ barriers with an autoimmune pathogenesis mechanism in the pathological process.
Introduction. At present, medical practice lacks a unifi ed approach to the choice of therapeutic tactics for acute catarrhal appendicitis and therefore lacks understanding of negative appendectomy. Aim. To study the incidence of negative appendectomy in acute appendicitis. Materials and methods. The methodology involved a retrospective analysis of the results of 1590 appendectomies performed from 2003 to 2005 and a prospective non-randomized study of 1112 patientsfor the period from 2018 to 2019. During the first observation period, the examination included physical and laboratory examinations, and in the second period, Alvaro scoring, ultrasound scan, and videolaparoscopy. Results and discussion. In the first period, catarrhal forms of appendicitis were reported in 7.82 % of cases, while in the second period — in 3.04 %. The diagnoses were confi rmed pathohistologically in all cases. Conclusion. No cases of performing negative appendectomy were reported, based on the results of clinical, endoscopic and pathomorphological examinations. However, the ambiguous interpretation of acute catarrhal appendicitis in the national clinical practice guidelines for acute appendicitis does not allow for unambiguous conclusions from the study.
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