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Experimental and Clinical Gastroenterology

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Differential diagnosis in hematochezia

https://doi.org/10.31146/1682-8658-ecg-175-3-87-93

Abstract

The appearance of hematohecia (blood in the bowel movement) is considered one of the most disturbing and serious symptoms of diseases of the gastrointestinal tract (GIT), signaling a violation of the integrity of the vessels of the intestine and mucous membrane. In the presented lecture the main diseases and conditions are considered, in the clinical picture of which the appearance of blood in the stool is noted, which must be considered in the course of differential diagnostics

About the Authors

D. I. Trukhan
FGBOU VPO “Omsk State Medical University Ministry of Health of Russia”
Russian Federation

Dmitry I. Trukhan, Dr. of Sci. (Med.), professor of the Chair for Polyclinic Therapy and Internal Diseases

644099, Omsk



L. V. Tarasova
FSBEI of HE “The Chuvash State University n. a. I. N. Ulyanov”; BI of HE “The Surgut State University”
Russian Federation

Larisa V. Tarasova, Doctor of Science (Medicine), head of the Faculty and Hospital Therapy Department; Professor Internal Diseases Department

Scopus ID: 35777248600

15 Moscow avenue, 428015 Cheboksary; 1 Lenina street, 628412 Khanty-Mansi Autonomous Region — Ugra, Surgut



E. I. Busalaeva
FSBEI of HE “The Chuvash State University n. a. I. N. Ulyanov”; SAI SVE “The Institute of Postgraduate Medical Education” of the Chuvash Republic Ministry Healthcare
Russian Federation

Elena I. Busalaeva, PhD (Medicine), Associate Professor, Department of Internal and Family Medicine; Faculty and Hospital Therapy Department

Scopus ID: 56657473200

15 Moscow avenue, 428015 Cheboksary; 27 Sespel street, 428018 Cheboksary



O. L. Ariamkina
BI of HE “The Surgut State University”
Russian Federation

Olga L. Ariamkina, MD, Professor, Head of the Department of Internal diseases

1 Lenina street, 628412 Khanty-Mansi Autonomous Region — Ugra, Surgut



References

1. Sheptulin A. A. Bleeding from the lower parts of the gastro-intestinal tract. RMJ. 2000, no. 2, pp.36–40.

2. Maev I. V., Samsonov A. A., Busarova G. A. et al. Acute gastrointestinal bleeding (clinic, diagnosis, therapy). Primary physician. 2003, no.1, pp.18–22.

3. Kucheryavy Yu.A., Andreev D. N., Andreev N. G. Diagnosis and treatment of gastrointestinal bleeding from the standpoint of the therapist. Diffi cult patient. 2014, no.6, pp.32–37.

4. Maev I. V., Samsonov A. A., Andreev D. N. Gastrointestinal blood flow: clinical presentation, diagnosis and treatment. Pharmateca. 2014, no.2, pp.47–53.

5. Trukhan D. I., Viktorova I. A. Internal Diseases: Gastroenterology. SPb. SpecLit, 2013, 367 p.

6. Tarasova L. V., Trukhan D. I. The clinic, diagnosis and treatment of major diseases of the digestive system. Cheboksary-Omsk, Publishing House of the Chuvash University. 2017, 468 p.

7. Trukhan D. I., Tarasova L. V., Filimonov S. N., Viktorova I. A. Diseases of the esophagus, stomach and duodenum. Clinic, diagnosis and treatment. SPb.: SpecLit. 2014, 160 p.

8. Trukhan D. I., Nikonenko V. A. Differential diagnosis of blood in the stool. Exact examination is the key to successful treatment. Hospital replacement technologies: outpatient surgery. 2016, no. 3–4(63–64), pp.36–43.

9. Danilova T. G., Andreev I. S., Babak P. P. et al. Dyelafua disease. Russian Journal of gastroenterology, hepatology and coloproctology. 2007, no.1, pp.69–73.

10. Trukhan D. I., Filimonov S. N. The clinic, diagnosis and treatment of the main endocrine and hematological diseases. Tutorial. Novokuznetsk: Polygraphist LLC. 2015,119 p.

11. Trukhan D. I., Viktorova I. A. Nephrology. Endocrinology. Hematology. SPb .: SpecLit, 2017, 253 p.

12. Trukhan D. I., Kiseleva D. S., Tarasova L. V. Diarrhea: current issues of differential diagnosis. Cons. Med. Gastroenterology. 2014, no.1, pp. 51–54.

13. Trukhan D. I., Tarasova L. V., Kiseleva D. S. Diarrhea: diagnostic tactics of a general practitioner. Reference book of a general practitioner. 2015, no.3, pp.9–17.

14. Trukhan D. I., Tarasova L. V. Helminthiasis: Topical Issues. Cons. Med. 2013, no.12, pp.52–56.

15. Tarasova L. V., Trukhan D. I. Helminthiasis and protozoa in the clinical practice of the therapist. Polyclinic physician reference book. 2014, no.3, pp.56–60.

16. Trukhan D. I., Kiseleva D. S. Differential diagnosis of diarrhea. Reference polyclinic doctor. 2015, no.9, pp. 18–21.

17. Trukhan D. I., Filimonov S. N. Intestinal diseases: clinical presentation, diagnosis and treatment. Novokuznetsk: Polygraphist LLC. 2017, 223 p.

18. Tarasova L. V., Trukhan D. I. Differential diagnosis of diarrhea. Experimental and Clinical gastroenterology. 2015, no.12, pp.105–110.

19. Tarasova L. V., Trukhan D. I. Intestinal diseases. Clinic, diagnosis and treatment. SPb. SpecLit, 2013, 144 p.

20. Tarasova L. V., Trukhan D. I. Clinic, diagnosis and treatment of major intestinal diseases. Cheboksary. Publishing House of the Chuvash State. University. 2013, 154 p.

21. Trukhan D. I., Filimonov S. N. Differential diagnosis of major gastroenterological syndromes and symptoms. M.: Practical medicine. 2016, 168 p.

22. Trukhan D. I. Blood in the stool: issues of Differential diagnosis. Reference polyclinic doctor. 2016, no.6, pp.38–42.

23. Grateful L. A. Diagnostics and conservative treatment of hemorrhoids in outpatient conditions. Surgery. 2011, no.2, pp.34–37.

24. Zagryadsky E. A. Modern tactics of hemorrhoidal disease treatment. Cons. Med. Appendix Surgery. 2012, no.2, pp. 36–40.

25. Meserve EE, Nucci MR. Peutz-Jeghers Syndrome: Pathobiology, Pathologic Manifestations, and Suggestions for Recommending Genetic Testing in Pathology Reports. Surg Pathol Clin. 2016, no. 9(2), pp.243–268.

26. Behera MK, Dixit VK, Shukla SK et al. Solitary rectal ulcer syndrome: clinical, endoscopic, histological and anorectal manometry fi ndings in north Indian patients. Trop Gastroenterol. 2015, no. 36(4), pp. 244–250.

27. Mayat K. E. Anal fissure: principles of diagnosis and treatment. The attending physician. 2009, no.2, pp.37–39.

28. Trukhan D. I. Differential diagnosis of constipation. Reference polyclinic doctor. 2016, no.2, pp.4–7.

29. Ivashkin V. T., Shelygin Yu.A., Achkasov S. I. et al. Recommendations of the Russian Gastroenterological Association and the Association of Coloproctologists of Russia for the diagnosis and treatment of adult patients with diverticular colon disease. Russian journal of gastroenterology, hepatology and coloproctology. 2016, no.1, pp.65–80.

30. Kozlova I. V., Myalina Yu. N. Diverticular bowel disease. Reference polyclinic doctor. 2010, no.1, pp. 41–42.

31. Levchenko S. V., Lazebnik L. B., Potapova V. B., Rogozina V. A. Clinical and morphological variants of diverticular colon disease. Experimental and Clinical gastroenterology. 2013, no. 3, pp.24–31.

32. Francis A, Kantarovich D, Khoshnam N et al. Pediatric Meckel’s Diverticulum: Report of 208 Cases and Review of the Literature. Fetal Pediatr Pathol. 2016, no.35(3), pp.199–206.

33. Srisajjakul S, Prapaisilp P, Bangchokdee S. Many faces of Meckel’s diverticulum and its complications. Jpn J Radiol. 2016, no. 34(5), pp.313–320.

34. Takeuchi K., Tanaka A., Hayashi Y. et al. COX inhibition and NSAID-inducedgastric damage-roles in various pathogenic events. Curr. Top. Med. Chem. 2005, no. 5, pp. 475–486.

35. Trukhan D. I. Nonsteroidal anti-inflammatory drugs through the prism of comorbidity and drug safety: Amtolmetin guacil is in focus. Cons. Med. 2015, no.2, pp.27–33.

36. Lazebnik L. B., Golovanova E. V., Alekseenko S. A. et al. Recommendations for the prevention and treatment of esophago-gastro-entero-colopathies induced by nonsteroidal anti-inflammatory drugs. Experimental and Clinical gastroenterology. 2018, no.3, pp.4–18.

37. Trukhan D. I., Tarasova L. V. Drug safety and rational pharmacotherapy in gastroenterological practice. Clinical perspectives of gastroenterology, hepatology. 2013, no. 5, pp.9–16.

38. Fujita M, Shiotani A. Gastrointestinal bleeding and mucosal damage induced by antithrombotic therapy. Nihon Rinsho. 2016, no. 20, 74 Suppl. 4 Pt. 1, pp. 591–595.

39. Kaufman D, Leslie G, Marya N et al. Small Intestinal Angioectasia: Characterization, Risk Factors, and Rebleeding. Journal of Clinical Gastroenterology. 2016, Aug 23. [Epub ahead of print].

40. Trukhan D. I., Tarasova L. V. Pain in the stomach: issues of Differential diagnosis. Reference polyclinic doctor. 2013, no. 2, pp. 7–10.

41. Tarasova L. V., Trukhan D. I. Acute abdomen in the practice of the general practitioner. Reference polyclinic doctor. 2014, no.2, pp.51–55.

42. Trukhan D. I., Tarasova L. V. Iron deficiency anemia: topical issues of diagnosis, treatment and prevention. Gynecology. 2013, no.5, pp.95–99.

43. Rivkin V. L. Outpatient examination of a proctologic patient. Polyclinic physician reference book. 2009, no. 11, pp.71–73.


Review

For citations:


Trukhan D.I., Tarasova L.V., Busalaeva E.I., Ariamkina O.L. Differential diagnosis in hematochezia. Experimental and Clinical Gastroenterology. 2020;(3):87-93. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-175-3-87-93

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