Ischemic colitis problems of diagnosis and treatment

Meşină, Cristian; Dumitrescu, Theodor; Obleagă, Cosmin Vasile; Ciobanu, Daniela

doi:10.5455/aces.20170816073935

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…As a therapeutic option in ARCD, nonoperative methods should be preferred in cases without acute diffuse peritonitis, although differentiation from malignant proliferative processes is difficult [76]. Surgical treatment is usually performed in cases of complicated ARCD [73,[77][78][79]. In experienced medical centers, laparoscopic resection of the affected colon with primary anastomosis can be performed [80,81].…”

Section: Principles Of Treatment Of Right Acute Colonic Diverticulitis (Arcd)mentioning

confidence: 99%

Complicated Colonic Diverticular Disease – Diagnostic and Therapeutic Difficulties

Meşină¹,

Dumitrescu²,

Ciorbagiu³

et al. 2022

Diverticular Disease of the Colon - Recent Knowledge of Physiopathology, Endoscopic Approaches, Clinical and Surgical Treatment

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Diverticular disease is one of the most common problems encountered by general surgeons and gastroenterologists. The term refers to complications that occur from colonic diverticulosis. In diverticular colonic disease the sigmoid colon is usually the most commonly involved, while right acute colonic diverticulitis is rarer. In establishing the diagnosis of ALCD, objective clinical examination plays an important role in addition to biological paraclinical examinations (C-reactive protein - CRP and increased leukocyte count) and radiological paraclinical examinations: CT abdomen. CRP is a useful tool in predicting the clinical severity of acute diverticulitis. The treatment applied to patients with uncomplicated colonic diverticular disease can be represented by antibiotic therapy, water regime, hydro-electrolytic rebalancing. In patients with multiple comorbidities, hemodynamic instability, the Hartmann procedure is recommended for the treatment of acute peritonitis caused by perforated colonic diverticulitis and in hemodynamically stable patients without comorbidities, colonic resection with primary anastomosis with or without stoma is suggested.

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Section: Principles Of Treatment Of Right Acute Colonic Diverticulitis (Arcd)mentioning

confidence: 99%

Complicated Colonic Diverticular Disease – Diagnostic and Therapeutic Difficulties

Meşină¹,

Dumitrescu²,

Ciorbagiu³

et al. 2022

Diverticular Disease of the Colon - Recent Knowledge of Physiopathology, Endoscopic Approaches, Clinical and Surgical Treatment

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“…Toll-like receptors are part of PRRs (pattern recognition receptors). PRRSs are a group of receptors, including Toll-like receptors, nucleotidebinding oligomerization domain leucine-rich repeat proteins, peptidoglycan recognition proteins, caspase recruitment domain-helicase proteins, manose-binding lectins (MBLs) [23][24][25][26][27][28] .…”

Section: Proinflammatory Cytokines In Chronic B-hepatitismentioning

confidence: 99%

Raspunsul gazdei la hepatita cronica virala B

Cringus¹,

Petrescu²,

Calborean³

et al. 2019

Rev. Chim.

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This review discusses and tries to demonstrate the importance of proinflammatory and antiinflammatory cytokines in HBV infection. Hepatitis B virus is a virus that is both hepatotropic and non-cytopathic. It causes the development of liver diseases which could progress into both acute and chronic versions. The virus is very widespread and results in the death of quite a number of people each year. The outcome of the viral infection is a result of immunologically mediated event. This means that the outcome is determined by the response of the immune system of the host. The infection can lead to several different liver diseases as well as fibrosis and cirrhosis. When an infection occurs, there is an attempt by the body to fight it via the use of several mechanisms. One of these is the use of cytokines (which are proteins). There exist different kinds of cytokines of which interleukin-10 and interferon gamma are very important. Interleukin-10 is an anti-inflammatory cytokine which inhibits the effector mechanism of Th1 cytokines. It performs hepatoprotective and anti-inflammatory functions and also upregulates Th2 cytokines. The function and relevance of this cytokine in the pathogenesis of liver diseases cannot be underemphasized. Interferon gamma, on the other hand, is a pro-inflammatory cytokine which seeks to eliminate and expunge the virus from the liver upon infection. It does this by congregating at the site of infection which subsequently results in inflammation and eventually liver fibrosis. This effect could be reversed by administering another type of interferon; interferon alpha.

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Ischemic colitis problems of diagnosis and treatment

Cited by 2 publications

References 13 publications

Complicated Colonic Diverticular Disease – Diagnostic and Therapeutic Difficulties

Complicated Colonic Diverticular Disease – Diagnostic and Therapeutic Difficulties

Raspunsul gazdei la hepatita cronica virala B

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