Inflammatory stenosing rectitis
Rectitis estenosante inflamatoria
Resumen:
The paper is a study of case histories of inflamatory rectal stenosis, compiled through our Service at the University Hospital ( Hospital de Clínicas), over a peperiod of 14 years.It is limited to inflamatory ethiology, and only definite stenosis, established by clinical, radiological and endoscopic examination are taken into account; intermediatestages are discarded. 488 -case histories are revised; the results, 22 observations, were classified according to their etiology into four groups, in order of frequency:1) V enereal limphogranuloma, 20 cases: 12 genito-ganglionic cases, wittout rectal localization; 11 with a rectal localization, of which 8 ( 40 % ) were rectal stenosis.2) Diverticular colopathies. Out of 287 cases, 7 were rectal stenosis (2,4 %). 3) Ulcerous recto-colitis. 63 observations, one case of rectal stenosis (1,05 % ) . 4) Perirectal stenosis, initiated at the pelvis, 3 observations. 5) Unclassified, 3 observations. ·A clinical study is made thereof, accompanied by endoscopic, radiological and hystopathological evidence, indicating their most charaderistic elements. A summary is made of the evolution which has occurred in the concept of this disease, its venereal predominance-and in the last few years, the concept of granulomatous rectocolopathies which tends to establish common elements for classifying the different forros.
Sobre la base de observaciones de estenosis rectal inflamatoria seguidas en nuestro Servicio, se estudia la casuística del Hospital de Clínicas durante un lapso de 14 años.Se delimita el tema a la etiología inflamatoria, tomándose en cuenta sólo las estenosis constituidas en forma definida y comprobadas por el examen clínico, radiológicoy endoscópico; no se consideran los estadios intermedios. Se revisaron 488 historias; el material obtenido ( 22 . observaciones) se clasificó etiológicamente en cuatro sectores, por orden de frecuencia: 1) Linfogranuloma venérea, 20 observaciones: 12 genitoganglionares sin localización rectal; 11 a localizadón rectal, de las cuales 8 estenosis rectales ( 40 % ) .2) Colopatías diverticulares. Sobre 287 observaciones, 7 estenosis rectales (2,4 %). 3) Rectocolitis ulcerosas.. En 63 observaciones, 1 estenosis rectal ( 1,05 % ) . 4) Estenosis a inicio pelviano, perirrectal, 3 observaciones. 5) No catalogads, 3 observaciones. Se estudian clínicamente, se expone documentación endoscópica, radiológica e histopatológica, señalando sus elementos más característicos. Se resume la evolución de las ideas sobre esta enfermedad, señalando la etiología venérea dominante y, en los últimos años, el concepto sobre rectocolopatías granulomatosas que tienden a establecer elementos nosológicos ,comunes entre las distintas formas.
2021 | |
rectitis estenosante inflamatoria colopatías diverticulares rectocolitis ulcerosa crónica rectitis Inflammatory stenosing rectitis diverticular collopathy chronic ulcerative colitis rectitis |
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Español | |
Sociedad de Cirugía del Uruguay | |
Revista Cirugía del Uruguay | |
https://revista.scu.org.uy/index.php/cir_urug/article/view/2111 | |
Acceso abierto |
Sumario: | The paper is a study of case histories of inflamatory rectal stenosis, compiled through our Service at the University Hospital ( Hospital de Clínicas), over a peperiod of 14 years.It is limited to inflamatory ethiology, and only definite stenosis, established by clinical, radiological and endoscopic examination are taken into account; intermediatestages are discarded. 488 -case histories are revised; the results, 22 observations, were classified according to their etiology into four groups, in order of frequency:1) V enereal limphogranuloma, 20 cases: 12 genito-ganglionic cases, wittout rectal localization; 11 with a rectal localization, of which 8 ( 40 % ) were rectal stenosis.2) Diverticular colopathies. Out of 287 cases, 7 were rectal stenosis (2,4 %). 3) Ulcerous recto-colitis. 63 observations, one case of rectal stenosis (1,05 % ) . 4) Perirectal stenosis, initiated at the pelvis, 3 observations. 5) Unclassified, 3 observations. ·A clinical study is made thereof, accompanied by endoscopic, radiological and hystopathological evidence, indicating their most charaderistic elements. A summary is made of the evolution which has occurred in the concept of this disease, its venereal predominance-and in the last few years, the concept of granulomatous rectocolopathies which tends to establish common elements for classifying the different forros. |
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