Patomorphology and endoscopic picture chronic abdominal ischemia syndrome

Barkhatov Igor Viktorovich, Barkhatova Natalia Anatolyevna

The article gives an overview of the literature on the peculiarities of morphological changes and changes in the endoscopic picture of the gastric mucosa of the colon and the syndrome of chronic abdominal ischemia. When visceral ischemia in 46.2% of cases are reported from erosive and ulcerative lesions of the stomach and duodenal bulb. In this case, endoscopic picture in ischemic kolopatii at an early stage of development of pathology is not specific and often accompanied by hypotonia and atony of the intestinal wall. At the stage of ischemic colitis endoscopic picture is not pathognomonic changes for differentiating between angiogenic and neangiogenny character pathology. Pathological changes in biopsies obtained during endoscopy, angiogenic diseases in the stomach and large intestine differs diffuse atrophy of mucous glands, and typical for coronary artery hypoplasia gastroduodenopatii surface pit and glandular epithelium, a negative test for Helicobacter pylori, and are often detected portions intestinal metaplasia. Identification of pathological changes in the mucous is an early, reliable signs of visceral ischemia.

Keywords:syndrome of chronic abdominal ischemia, fibrogastroscopy, fibrocolon-oscopy, ischemic gastropathy, ischemic kolopathy