Differential diagnosis of surgical gastrointestinal complications in patients with non-Hodgkin’s lymphomas
S. N Nered , V. A Shalenkov , I. S Stilidi , E. A Osmanov
Russian Journal of Oncology ›› 2013, Vol. 18 ›› Issue (3) : 9 -13.
Differential diagnosis of surgical gastrointestinal complications in patients with non-Hodgkin’s lymphomas
The study includes 190 patients with nodal and extranodal non-Hodgkin’s lymphoma who developed or suspected surgical complications (bleeding, perforation, stenosis) in the gastro-intestinal tract (GIT). Complications in 134 patients occurred in the area of the gastrointestinal tumor lesions, 19 - in different parts of the gastrointestinal tract, which were not involved in the neoplastic process. In 37 patients suspected acute surgical pathology was not confirmed, it was caused by the side effects of anticancer drugs. Examination algorithm and a set of diagnostic features used to distinguish the true surgical complications from side effects of chemotherapy were presented.
lymphoma / gastrointestinal bleeding / perforation / stenosis
| [1] |
Поддубная И. В. Первичные лимфомы желудочно-кишечного тракта. В кн.: Волковой М.А., ред. Клиническая онкогематология. М.: Медицина; 2007: 734—70. |
| [2] |
Воробьев А.И., Горелов В.Т., Городецкий В.М., Шулутко Е.М. Критические состояния при гемобластозах. Терапевтический архив. 1993; 7: 3—7. |
| [3] |
Неред С.Н., Шаленков В.А., Стилиди И.С., Поддубная И.В. Хирургическое и консервативное лечение осложненных форм неходжкинских лимфом желудка. Онкология. Журнал им. П.А. Герцена. 2012; 1: 28—32. |
| [4] |
Шаленков В.А., Неред С.Н., Поддубная И.В., Стилиди И.С. Место хирургии в лечении осложненных форм неходжкинских лимфом желудочно-кишечного тракта. Клиническая онкогематология. 2012; 5(4): 338—48. |
| [5] |
Spectre G., Libster D., Grisariu S., Da’as N., Yehuda D.B., Gimmon Z. et al. Bleeding, obstruction and perforation in a series of patients with aggressive gastric lymphoma treated with primary chemotherapy. Ann. Surg. Oncol. 2006; 13(11): 1372—8. |
| [6] |
Velickovic D., Sabljak P., Ebrahimi K., Bjelovoc M., Stojakov D., Nenadic B. et al. Upper gastrointestinal bleeding as a surgical complication of primary gastric lymphoma. Acta Chir. Iugos. 2007; 54(1): 131—4. |
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