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The Disease Girshprunga beside Adult: Modern Approaches to Diagnostics & Treatment

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Author(s): MIRZAHMEDOV M.M. | AHMEDOV M.A. | SAPAEV D.A.

Journal: European Medical, Health and Pharmaceutical Journal
ISSN 1804-5804

Volume: 1;
Start page: 33;
Date: 2011;
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Keywords: HIPOGANGLIOS | AGANGLIOS | MEGARECTUM | DISEASE GIRSHPRUNGA

ABSTRACT
The Material of the study has formed 78 sick, found onstationary treatment in Republican Scientific CentreColoproktologii since 1992 on 2010. As it is seen, from table,from 78 sick mans was 58(74,3%), womans 20(25,7%).19(24,3), sick were at age from 15 before 20 years,49(60,2%) at age from 21 before 40 years and 13 (16,6%)sick from 41 before 60 years.The Main complaint sick at arrival were a stubbornconstipations, which noted beside 70 (89,7%) sick, includingabsence of the independent chair existed beside55(70,5%), but beside 54(69,2%) sick were noted periodicstomachache, growing on measure of the absence of thechair. The Ballooned belly existed beside all 78 (100%) sickmoreover beside 20(25,6%) of them flatulence wasconstant. The Sickness and retching existed beside24(30,7%), weakness, reduction to capacity to work beside52(66,6%), increasing of the temperature of the body beside10(12,8%), paradoxical diarrhoeas beside 6(7,6%) sick.Endoskopicheskiy method (rectoromonoscopy, colonoscopy)turned out to be else less informations 51,8%coincidences of the diagnosis. So we biopsy on Svensonuexecuted beside all sick, entered with suspicion on diseaseGirshprunga. In our observations from 78 sick beside42(53,8,1%) were aboveanalni, beside 20(25,6%) sick rectalis,beside 13(16,6%)rectosigmoideys,beside 2(2,5%) leftside and beside 1(1,2%) sick subtotalis form hipoganglios. At biopsies on Svensonu on observations,from 78 sick, beside 44(56,4%) is revealled hipoganglios,but beside 35(44,8%) Š°ganglios rectum. As can be seenfrom presented tables, from 78 sick beside 68(87,2%) us isexecuted onemoments radical operation, 10(12,8%) sick isas far as possible made resection hipoor aganglionarnayaof the zone, decompensate part of the large intestine and isformed colostomy. In all events at operations. The Remoteresults executed radical operation on cause diseaseGirshprunga traced from 1 before 10 years beside 57(73%)sick. The Results of the surgical treatment were valued onscale Vezika: good, satisfactory and unsatisfactory. In ourobservations beside 46(80,7%) sick results came in well,beside 10(17,5%) satisfactory and beside 1(1,8%) sick was an unsatisfactory result.

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