CHRONIC ISCHEMIA OF GREAT GUT (LITERATURE REVIEW)

Abstract

The article presents literature review on study history of ischemia of great gut. The study of this problem began in 1834 when Despre published the first message on bowel infarction with preceding chronic ischemia of intestines. In recent years interest to great gut ischemic defeats has increased. It is not surprising taking into account extreme prevalence of vascular diseases. There are known reliable pathomorphological data on colon mucosa change into acute ischemic colitis, nevertheless there is hardly any information in literature on morphofunktional change of a mucous membrane with early stage of chronic regional misperfusion. The research is necessary for timely diagnostics of a great gut chronic ischemia and prediction of colic anastamotic dehiscence and great gut gangrene in various clinical settings. Despite of various ways of great gut chronic ischemia diagnostics, complexity of this pathology definition with early stage is obvious and requires search for new methods of disease verification. There are a lot of facts describing pathogenesis of great gut vascular abnormalities with criteria of their recognition. It is necessary to know history of scientific research, mistakes, achievements, problems met by the previous generations of experts dealing with this problem to move on.