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Chronic ischemic disease of the digestive system: diagnostic problems and its solutions
[Internal diseases]
Valeriy Bogatirev; Alexander Marinchuk; Mithat Gasanov; Vladimir Terentyev; Alexandr Tkachev;
Chronic ischemic disease of the digestive system (СIDDS) is a rare pathology which is manifested by the abdominal pain after meals and weight loss. In view of the non-specific nature of complaints, the absence of pathognomonic signs in an objective examination, the lack of alertness of doctors, the verification is complex, and often СIDDS is the
diagnosis of exclusion. However, an assessment of the risk factors (patient age, high degree of comorbidity, atherosclerosis risk factors, the presence of vasculopathies in several arterial basins) along with the proper instrumental examination, including triplex ultrasound, angiography, MRI, CT angiography, tonometry can significantly improve
the identification of СIDDS.
This article presents a modern approach to the problem of СIDDS with the review of the current literature, as well as a clinical case of the patient with chronic abdominal ischemia, which has been observed for a long time for the gastrointestinal tract pathology of non-ischemic origin.
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Keywords: chronic ischemic diseases of the digestive system, stenting, occlusion of the superior mesenteric artery
Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy