Ключові слова
артеріальна гіпертензія
трансабдомінальна ультразвукова діагностика кишечника
товщина стінки кишечника
Як цитувати
Анотація
The aim. To evaluate the thickness of the large intestine wall in patients with ulcerative colitis and concomitant arterial hypertension using transabdominal ultrasound diagnostics.
Materials and methods. 96 patients were examined. Two groups were formed: the main group (group I) – patients with ulcerative colitis with concomitant arterial hypertension (n=49; age – 41.2±12.32 years, M±SD years) and control group (group II) – patients with ulcerative colitis without concomitant arterial hypertension (n=47; age – 40.2±10.85 years). The diagnosis of ulcerative colitis was confirmed by colonoscopy with biopsy and subsequent pathological examination. Endoscopic assessment of the severity of ulcerative colitis was performed according to the Mayo ulcerative colitis system. Anamnesis was taken in all patients, a general clinical examination, outpatient blood pressure measurement, colonoscopy, and transabdominal ultrasound diagnostics of the large intestine were performed.
Statistical processing of the data was performed using probability assessment criteria.
Results. The study found that in group I there was a more pronounced thickening of the colon wall involved in the inflammatory process than in group II (p<0.05), which was due to the systemic inflammatory process and the presence of concomitant hypertension.
Conclusions. The study proves that outpatient blood pressure measurement in patients with ulcerative colitis is a mandatory procedure. After all, untimely diagnosis of concomitant hypertension can affect the course and early relapse of ulcerative colitis. The advantages of transabdominal ultrasound diagnostics of the intestine are accessibility, relatively low price, good tolerability, lack of radiation exposure and, most importantly, non-invasiveness of the method for assessing disease activity.
Посилання
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