INSTRUMENTAL MONITORING OF MORFOFUNCTIONAL CHANGES IN THE INTESTINE OF PATIENTS WITH ULCERATIVE COLITIS

The indices of intraluminal ultrasonography and dopplerometry were studied in 24 patients with ulcerative colitis who underwent surgical treatment. The wall thickness and blood flow rates in the mesentery and the wall of the affected rectum and small bowel reservoir were evaluated at various stages of surgical treatment. In the patients included in the study, the wall thickness and blood flow velocity in the rectum differed from this indicator after the different stages of surgical treatment. These indicators in the formed reservoir increased after the final stage of surgical treatment. During the evaluation of the results obtained with ultrasonography with Doppler, wall thickening is detected, blood flow is increased in the submucosal mucous layer of the rectum, despite the fact that during endoscopy there may be no data on the activity of the process. The results obtained allow us to quantify the condition of the inflamed rectum and the formed small intestinal reservoir, which allows to correct the conservative treatment of ulcerative colitis, to plan the optimal timing of the stages of surgical treatment.

язвенный колит, ультрасонография, допплерография, хирургическое лечение, тонкокишечный резервуар, ulcerative colitis, ultrasonography, dopplerography, surgical treatment

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