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Histopathomorphological changes in bowel obstructive neoplastic colonic obstruction

Abstract

Particular morphological changes in the wall of colon and small intestine have been studied in 26 patients with obturation tumorous intestine obstruction (OTIO). The dynamics in the development of morphological changes of intestinal wall were detected according to the rate of compensation of the OTIO, which lied in progressing edema, blood circulation disturbance with vessels prethrombus changes and acute inflammatory reaction. Such acute changes in the intestine wall occurred against a background of chronic morphologic changes, especially by the patients of elderly and senile age, which can contribute to the disturbance of sucking intestine function. On the base of received data can be made a conclusion about inadmissibility of realization of primary enterostomies on the height of OTIO, and realization of radical surgeries with forming interintestinal anastomosis should be done not earlier than in 3-4 weeks after elimination of ileus.

About the Authors

E. E. Achkasov
ГБОУ ВПО Первый МГМУ им. И.М. Сеченова Минздравсоцразвития РФ, Москва
Russian Federation


S. F. Alekperov
ГБОУ ВПО Первый МГМУ им. И.М. Сеченова Минздравсоцразвития РФ, Москва
Russian Federation


P. V. Melnikov

Russian Federation


I. Yu. Kolyshev

Russian Federation


O. A. Kalachyov

Russian Federation


O. O. Orekhov

Russian Federation


D. Yu. Kanner

Russian Federation


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Review

For citations:


Achkasov E.E., Alekperov S.F., Melnikov P.V., Kolyshev I.Yu., Kalachyov O.A., Orekhov O.O., Kanner D.Yu. Histopathomorphological changes in bowel obstructive neoplastic colonic obstruction. Journal Biomed. 2012;1(4):113-123. (In Russ.)

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ISSN 2074-5982 (Print)
ISSN 2713-0428 (Online)