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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/15337
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dc.contributor.authorHotineanu, Vladimir
dc.contributor.authorTimiș, Tudor
dc.contributor.authorȚurcan, Vadim
dc.date.accessioned2021-02-08T13:21:56Z
dc.date.available2021-02-08T13:21:56Z
dc.date.issued2013
dc.identifier.citationHOTINEANU, Vladimir, TIMIŞ, Tudor, ŢURCAN, Vadim. Rezultatul tratamentului medico-chirurgical al bolii Crohn cu localizare abdominală şi perianală. In: Sănătate Publică, Economie şi Management în Medicină. 2013, nr. 5(50), pp. 27-32. ISSN 1729-8687.en_US
dc.identifier.issn1729-8687
dc.identifier.urihttp://revistaspemm.md/wp-content/uploads/2019/05/cm5_50_2013.pdf
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/15337
dc.description.abstractSummary: During 1995-2012 period 83 patients with CD were treated. The localization of inflamation was: terminal ileitis – 24 (29.1%), colon – 9 (10.8%), ileum and colon – 16 (19.3%), perianal region 34 (40.8%) cases. The distribution, according to CDAI Best was: easy =150-300/ 28 (33.7%), moderate =301-450/ 35 (42.2%), severe > 450 points/ 20 (24.1%) cases. 38 (45.7%) from 83 patients underwent surgical treatment. Indications for surgery: ileocolic CD with vital complications – 8 (21.1%) obstructive strictures – 5 (13.2%), internal and external fi stulas – 4 (10.5%), severe steroid-linked effects – 3 (7.9%) cases; Perianal CD with abcesses, fi stulas, strictures – 18 (47.2%) patients. Types of surgical interventions: Ileocolic CD with segmentar resection+anasthomosis – 10 (26.3%), plasty of stricture – 3 (7.9%), colectomia – 7 (18.4%); perianal CD with – rectal resection+anasthomosis – 3 (7.9%), draining of the abscess – 3 (7.9%), draining of fi stula by Seton – 5 (13.2%), incision and plasty of stricture – 3 (7.9%), fi stuloplasty with vaginal flap – 2 (5.3%), ileostomy – 2 (5.3%) cases. Ileocolic CD: recurrence of illness – 3 (15%), repeated intervention – 2 (10%), postoperative complications – 4 (20%), postoperative lethality – 1 (5%) cases. Perianal CD: recurrence of illness – 6 (33.3%), repeated intervention – 4 (22.2%), postoperative complications – 5 (27.7%), postoperative lethality – 1 (5.6%) cases.en_US
dc.description.abstractРезюме: На протяжении периода исследования (2000-2012) было госпитализировано 83 больных с болезнью Крона (БК). Локализация болезни была следующей: терминальный отдел подвздошной кишки – 24 (29.1%), толстая кишка – 9 (10.8%), тонкая или толстая кишка – 16 (19.3%), перианальная область и промежность – 34 (40.8%). По индексу Беста активности заболевания (CDAI) выявили: легкую форму = 150-300 у 28 (33.7%), среднетяжелую форму = 301-450 у 35 (42.2%) и тяжелую форму > 450 у 20 (24.1%). Показаниями для оперативного вмешательства при кишечной локализации болезни Крона послужили: жизнеопасные осложнения – 8 (21.1%), обструктивные стриктуры – 5 (13,2%), внутренние и наружные свищи – 4 (10.5%), стероидная резистентность и зависимость – 3 (7.9%); при перианальной локализации: абсцессы, свищи, стриктуры – 18 (47.2%). Было произведено 10 (26,3%) сегментарных резекций с анастомозом, 3 (7,9%) cтриктуропластик, 7 (18,4%) колэктомий, при перианальной БК – резекция прямой кишки с анастомозом – 3 (7,9%), дренирование абсцесса – 3 (7,9%), дренирование свища по Сетону – 5 (13,2%), стриктуротомия со стриктуропластикой – 3 (7,9%), пластика свища влагалищным лоскутом – 2 (5,3%), илеостомия – 2 (5,3%) случаев.en_US
dc.language.isoroen_US
dc.publisherAsociația Obștească ”Economie, Management și Psihologie în Medicină” din Republica Moldovaen_US
dc.relation.ispartofSănătate Publică, Economie şi Management în Medicină: Congresul al III-lea Naţional de Gastroenterologie şi Hepatologie cu participare internaţională, 20 – 21 iunie 2013, Chișinău, Republica Moldovaen_US
dc.subjectCrohn’s diseaseen_US
dc.subjectperianal CDen_US
dc.subjectindication for surgeryen_US
dc.subjecttypes of surgical interventionsen_US
dc.titleRezultatul tratamentului medico-chirurgical al bolii Crohn cu localizare abdominală şi perianalăen_US
dc.title.alternativeRеsults of medical and surgical treatment of patients with abdominal and perianal Crohn’s diseaseen_US
dc.title.alternativeРезультаты консервативного и хирургического лечения болезни Крона с кишечной и перианальной локализациейen_US
dc.typeOtheren_US
Appears in Collections:Sănătate Publică, Economie şi Management în Medicină Nr. 5 (50) / 2013

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