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Chronic enterocolitis

Enterocolitis is an inflammatory or inflammatory-dystrophic lesion of the small or large intestine, resulting in a chronic course of atrophy of their mucous membrane.

The main clinical manifestations

Pain in the mesogastric region and throughout the abdomen (aching, pressing, stitching), worse after eating, physical exertion, accompanied by impaired stool (diarrhea, constipation, alternating diarrhea with constipation); weight loss is noted, with palpation of the abdomen soreness in the mesogastric region, along the large intestine, in the navel, rumbling of the intestine.

Classification of chronic enterocolitis

(according to A.V. Frolkis, 1975)

1. By etiology:

a) post-infectious (after dysentery, salmonellosis, food toxicoinfection, etc.);

b) postparasitic (amoebiasis, giardiasis, balantidiasis, helminthic invasions);

c) toxic;

g) medication;

e) allergic;

f) mechanical (colonoptosis, splanchnoptosis, dolichosigma, adhesive disease of the abdominal cavity, etc.);

g) alimentary;

h) radiation;

i) secondary (gastrogenic, pancreatogenic, biliary origin and other etiologies);

j) insufficiently studied etiology (tropical and non-tropical sprue, Whipple's disease, congenital enzymopathies, etc.);

l) mixed.

2. According to the prevailing localization of the pathological process:

a) with a predominant lesion of the small intestine;

b) the state of digestion - compensation, subcompensation, decompensation;

c) the severity of the course - mild, moderate, severe;

d) phase of the course: exacerbation, incomplete remission, remission.

The state of intestinal microflora and parasitic fauna: dysbiosis - pronounced, unexpressed.

Diagnostic criteria

1) pain; 2) enteric symptom; 3) general syndrome (weight loss, increased fatigue, decreased performance, decreased appetite); 4) hypovitaminosis syndrome; 5) exudative enteropathy syndrome; 6) polyglandular endocrine insufficiency syndrome; 7) anemia, hypoproteinemia, dysproteinemia, steatorrhea, creatorrhea, amylorrhea; 8) radiological and endoscopic symptoms; 9) partial or subtotal atrophy of the villi of the intestinal mucosa.

Three types of severity of chronic enterocolitis are distinguished with the course:

I - mild course - clinically manifested by local intestinal symptoms;

II - moderate course - characterized by intestinal and general syndromes;

III - severe course — general symptoms prevail and the general condition of patients suffers.

Clinical Diagnosis Examples

1. Chronic enterocolitis, parasitic, moderate with a primary lesion of the small intestine, unit, with moderate partial villous atrophy, with a predominance of deficiency of intestinal digestion and absorption in the acute phase.

2. Chronic post-infectious enterocolitis with a predominant lesion of the colon, the course of moderate severity, with symptoms of dysbiosis in the acute phase.
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Chronic enterocolitis

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