Treatment strategies for patients with chronic ischemia of the lower limbs in erosive-ulcerous gastroduodenitis
Belkov, I.A.; Shinkevich, E.V.; Makeev, A.G.; Bogdanova, M.G.; Dudnik, A.V.; Kyshtymov, S.A.
Khirurgiia 3: 38-41
2004
ISSN/ISBN: 0023-1207 PMID: 15097987 Document Number: 569778
Endoscopic examination of the stomach and duodenum with microscopic examination of biopsy material was performed in 66 patients with lower limbs chronic ischemia before reconstructive surgeries on aorto-ilio-femoral segment. High incidence (30.3%) of erosive-ulcerous diseases of the stomach and duodenum was revealed, 12% of the patients had undergone surgeries on the stomach and duodenum due to peptic ulcer. Hemodynamic studies of mesenteric vessels showed some increase of their diameter, slight increase of blood velocity, decrease of pulsation indices and circulatory resistance which may be regarded as the phenomenon of blood shunting and reduced blood flow in terminal branches of visceral vessels. Erosive-ulcerous diseases of the stomach and duodenum are more severe in patients with lower limbs critical ischemia.