THE GASTROINTESTINAL TRACT STATE IN THE BURN DISEASE RECONVALISCENCY PERIOD

S.N. KHUNAFIN, F.S. MUSINA, R.M. ZINATULLIN, T.R. GIZATULLIN

Bashkir State Medical University, State High-Professional Education Institute, Ufa, RUSSIA

Introduction: the medical literature rather completely reflects the gastrointestinal tract state in the acute periods of the burn disease (shock, toxemia, septicotoxemia), but there is no mention about the GIT state in the period of reconvaliscency. The research objective is to assess the functional state of the gastrointestinal tract in the burnt patients in the period of reconvaliscency.

Materials and methods: we have studied the GIT state in burnt patients after complete epithelization of burnt wounds. Total area of a burn was 20 to 50% of the body surface, including a deep burn of 10 to 30%. 22 patients (70%) received hormonal therapy in the period of septicopyemia of the burn disease at mean dosage of 20 mg prednisolon per a day inside for 1-2 months. Ultrasound examination of the abdominal cavity organs, fibrogastroduodenoscopia with mandatory sampling of cyto- and histological material and the gastric juice acidity determination were carried out.

Results: among 32 patients, atrophic changes of the stomach mucous membrane have been found in 30 (93.7%) patients, and the full-type erosion against the background of atrophic changes of the mucous membrane was revealed in two cases. In all cases, the gastric juice acidity reduction was observed. The histological research results have proved the existence of the various activity graded atrophic gastritis of the mucous membrane of the stomach along with foveolar hyperplasia. Cytologically : the atrophic gastritis with the covering epithelium hyperplasia elements and erosive gastritis have been found. The ultrasound studies have shown the extension of the liver size and the increase in echogenicity of its parenchyma. The parenchyma structure was inhomogeneous, granular along with the ultrasound ray attenuation in dorsal department, and it proves the hepatosis-type changes in the liver, the pancreas shape is variable, the parenchyma echogenicity is increased.

Conclusion: the GIT state in the burn reconvalescents is characterized with trophic changes on the side of the mucosa membrane of the stomach and the liver parenchyma, and it should be adequately corrected.

Date: 2014-12-28; view: 988