CLINICAL ASPECTS OF GRAVITATIONAL SURGERY IN THE TREATMENT OF STEROID-DEPENDENT AND STEROID-RESISTANT FORMS OF NONSPECIFIC ULCERATIVE COLITIS
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This paper analyses clinical material based on the results of a comprehensive examination and treatment of 102 patients with a confirmed diagnosis of nonspecific ulcerative colitis. The positive dynamics of general clinical and laboratory indicators and of the endoscopic picture in patients with steroid-dependent and steroid-resistant forms of nonspecific ulcerative colitis, when a course of extracorporeal plasmapheresis procedures was used for their treatment, indicates its effectiveness in relieving exacerbation of the disease. Despite the use of minimal doses of corticosteroids during plasmapheresis sessions, compared with standard therapy, in patients with steroid-dependent and steroid-resistant forms of nonspecific ulcerative colitis remission is achieved more frequently (from 22% to 96%), complications from the long-term intake of corticosteroids are significantly reduced, and the possibility of complete withdrawal of maintenance therapy has been achieved, which ultimately leads to an improvement in the quality of life of this category of patients.
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