129 -5 (55) 2023 — Adilbekova D.B., Abdurazzakov H.S. — MORPHOLOGICAL CHANGES IN THE VASCULAR TISSUE STRUCTURES OF THE SMALL INTESTINE IN ACUTE EXPERIMENTAL INTESTINAL OBSTRUCTION
MORPHOLOGICAL CHANGES IN THE VASCULAR TISSUE STRUCTURES OF THE SMALL INTESTINE IN ACUTE EXPERIMENTAL INTESTINAL OBSTRUCTION
Adilbekova D.B., Tashkent Medical Academy
Abdurazzakov H.S., Tashkent Medical Academy
Mehmonov Sh.R. Tashkent State Dental Institute
Resume
Objects: The purpose is to study the morphological state in the wall of the resected intestine during the development of intestinal insufficiency syndrome in animals with experimental intestinal obstruction. Materials and methods: experiment conducted on 60 white rats with average weight 170-190 g white rats. To create an experimental intestinal obstruction model in animals, an incision was made in the anterior lower part of the abdominal wall under ether anesthesia. 2 ligatures were placed at the top and bottom on the proximal part 1-1.5 cm from the ileocecal corner of the small intestine. Then the abdominal wall was closed in layers. Results: The results obtained showed that in acute experimental intestinal obstruction, inflammatory and dystrophic changes are observed in the wall of the small intestine. Infiltration by mononuclear cells is detected in the tissue structures of the intestinal wall. In the intra-organ microvessels of the intestinal wall, there is swelling and swelling of the wall, a decrease in the internal diameter, stagnation, violation of the permeability of the walls, perivascular microextravasates and plasmorrhagia, a decrease in the density of the distribution of vessels. There are 3 stages in the development of these processes: compensatory, subcompensatory and decompensatory stages. The depth of these pathomorphological changes depends on the period and degree of development and compensation of the inflammatory process in the intestinal wall.
Key words: experimental intestinal obstruction, small intestine, tissues, vessels, intestinal insufficiency.
First page
733
Last page
739
For citation: Adilbekova D.B., Abdurazzakov H.S., Mehmonov Sh.R. – MORPHOLOGICAL CHANGES IN THE VASCULAR TISSUE STRUCTURES OF THE SMALL INTESTINE IN ACUTE EXPERIMENTAL INTESTINAL OBSTRUCTION //New Day in Medicine 2023 5(55): 733-739 https://newdaymedicine.com/index.php/2023/06/19/l-203/
LIST OF REFERENCES:
- Абдухалимов К.С., Абдулаев М.А., Абдуллаев З.Т., Абдуллаев М.А., Авдеев А.М. Роль лапароскопии в диагностике и лечении различных форм тонкокишечной непроходимостиАльманах Института хирургии им. А.В.Вишневского. 2017 1:422-423.
- Ачкасов Е.Е. и др. Особенности тактики лечения больных с острой тонкокишечной механической непроходимостью Успехи современного естествознания. 2015 1-4:555-560
- Гольбрайх В.А., Маскин С.С. и др. Патогенетические алгоритмы лечения больных острой неопухолевой кишечной непроходимостью Актуальные проблемы медицинской науки и образования АПМНО-2017: сб. тр. 6-й Междунар. науч. конф. – Пенза, 2017 105-108.
- Каримов Ш.И., Баймаков С.Р., Асраров А.А., Каримов М.Р. Пути профилактики синдрома кишечной недостаточности при острой кишечной непроходимости Вестник экстренной медицины. – 2016 3:29-33.
- Соловьев А.Е., Васин И.В., Кульчицкий О. А. Морфологические изменения тонкой кишки при острой странгуляционной кишечной непроходимости в стадии декомпенсации у детей Российский вестник детской хирургии, анестезиологии и реаниматологии. 2018 28-33.
- Федорин А.И., Федорина Т.А. Морфологические изменения в стенке резецированной тонкой кишки у пациентов с непроходимостью кишечника и разной стадией энтеральной недостаточности Известия Самарского научного центра РАН. -2015 5-3:27-32.
- Berman DJ, Ijaz H, Alkhunaizi M, Kulie PE, Vaziri K, Richards LM, Meltzer AC. Nasogastric decompression not associated with a reduction in surgery or bowel ischemia for acute small bowel obstruction. Am J Emerg Med. -2017 Dec. 35(12):1919-1921.
- Turenkov A., Kelley K.M., Boustany M. Internal Hernia as Cause of Small Bowel Obstruction without History of Gastrointestinal Surgery Amer. Surg. – 2018 84(7):231-233.
- Chuong AM, Corno L, Beaussier H, Boulay-Coletta I, Millet I, Hodel J, Taourel P, Chatellier G, Zins M. Assessment of Bowel Wall Enhancement for the Diagnosis of Intestinal Ischemia in Patients with Small Bowel Obstruction: Value of Adding Unenhanced CT to Contrast-enhanced CT. Radiology. -2016 Jul. 280(1):98-107.