COLON FIXATION ABNORMALITY: CLINICAL MANIFESTATIONS, RISK FACTORS

SH.F. IBRAHIMLI, R.Z. HASANOV

Azerbaijan Medical University, Baku, AZERBAIJAN

Colon fixation abnormalities are the main causes for abdominal troubles including constipation, abdominal distension and pain. Clinical manifestations of abnormal colon fixation may be absent for long time. The identification of factors provoking and disturbing the functions of anatomically changed colon is of great importance. This helps to identify risk groups and ensure proper prophylaxis.

Our study aims at the following: identification of risk factors provoking clinical manifestations in abnormal colon fixation.

We examined 285 patients with chronic constipation. The cause of constipation in 98 cases was abnormal colon fixation and 40 patients underwent various options of colectomy.

The main method of colon abnormality diagnosis was roentgenological method.

The results of the study showed that significant signs of colon abnormalities included non-morning defecation, abdominal surgery, stresses, for women -- deliveries, old intestinal infections. Clinical manifestations in a part of patients were caused by several factors. We found that afternoon defecation is one of the main risk factors causing constipation and this linked with unbalanced activity of intestines. Deliveries and pregnancies cause changes of intraabdominal pressure and hormonal status which probably provoke constipation. Stresses reactivate intestinal inflammation and induce psychological changes making responses to inflammatory stimuli stronger. Old intestinal infections cause toxic lesion to intramural nerves and dysbacteriosis. Abdominal and gynecological operations on the one part are stress factors and on the other part affect innervation and muscle integrity including anteroventral ones and make defecation difficult.

The main clinical manifestations of abnormal colon fixation in examined patients were constipation and abdominal pain. The diagnosis was justified if there were one or more of the following signs: defecation less than 3 times per week with strong straining efforts in more than a quarter of cases, dry, solid faeces, feelings of incomplete evacuation and anorectal obstruction or manual manipulations to empty rectum.

Date: 2014-12-28; view: 858